Organization
ADVANTAGE PSYCHIATRIC SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA LYNN PIXTON (CEO)
(410) 686-3629
Entity
Organization
Contact information
Practice address
493 MAIN ST, PRINCE FREDERICK, MD 20678-3186
(410) 686-3629
Mailing address
5024 CAMPBELL BLVD STE A, NOTTINGHAM, MD 21236-5974
(410) 686-3629
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
210210588
—
MD
Enumeration date
02/25/2021
Last updated
02/26/2021
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