Organization
CORSICA RIVER MENTAL HEALTH SERVICE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN F. PLASKON (EXECUTIVE DIRECTOR)
(410) 758-3050
Entity
Organization
Contact information
Practice address
332 N MAIN ST, FEDERALSBURG, MD 21632-1007
(410) 758-2211
Mailing address
120 BANJO LN, CENTREVILLE, MD 21617-1002
(410) 758-2211
(410) 758-0698
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
04/12/2017
Last updated
04/12/2017
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