Organization
WARWICK MANOR BEHAVIORAL HEALTH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHYLISS JOHNSON (DIRECTOR OF OPERATIONS)
18003446423
Entity
Organization
Contact information
Practice address
3680 WARWICK RD, EAST NEW MARKET, MD 21631-1420
(800) 344-6423
(410) 943-3976
Mailing address
3680 WARWICK RD, EAST NEW MARKET, MD 21631-1420
(800) 344-6423
(410) 943-3976
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
15773
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
631501100
—
MD
Enumeration date
05/02/2008
Last updated
05/02/2008
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