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
610 E DIAMOND AVE STE 100, GAITHERSBURG, MD 20877-5321
(301) 840-3200
Mailing address
PO BOX 45709, BALTIMORE, MD 21297-5709
(410) 382-8111
(443) 612-1488
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
MD
Other
Enumeration date
08/14/2018
Last updated
01/23/2023
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