Organization
MOSAIC COMMUNITY SERVICES, INC.
Active
Other names
Sheppard Pratt
Organization subpart
No
Provider details
NPI number
Authorized official
SUE KESSLER (DIRECTOR, REVENUE CYCLE)
(410) 382-8111
Entity
Organization
Contact information
Practice address
288 E GREEN ST, BLDGS A & B, WESTMINSTER, MD 21157-5410
(410) 453-9553
(410) 751-5974
Mailing address
PO BOX 45709, BALTIMORE, MD 21297-5709
(410) 453-9553
(443) 612-1488
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
159380304
—
MD
Enumeration date
06/10/2008
Last updated
10/24/2023
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