Organization
MULTIDIMENSIONAL COMMUNITY HEALTH SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRACE M. ABRAHAM LEWIS (PRESIDENT)
(443) 449-9991
Entity
Organization
Contact information
Practice address
515 E JOPPA RD, 100/104, TOWSON, MD 21286-5418
(410) 337-0938
(410) 337-2104
Mailing address
7841 AMERICANA CIR, 201, GLEN BURNIE, MD 21060-7803
(443) 449-9991
(410) 768-3158
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
LPG7130
MD
302R00000X
Health Maintenance Organization
LGP7130
MD
Other
Enumeration date
07/12/2016
Last updated
07/12/2016
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