Organization
CAPITAL MENTAL HEALTH ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHRYN HIGH (OFFICE MANAGER)
(240) 297-3449
Entity
Organization
Contact information
Practice address
431 DUAL HWY, HAGERSTOWN, MD 21740-5713
(240) 297-3449
Mailing address
14035 EDGEMONT RD, SMITHSBURG, MD 21783-1234
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
D0024785
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07910001
CARE FIRST BLUE CROSS BLU
MD
05
—
1272217
—
MD
01
—
2299444
CIGNA
MD
01
—
7417824
AETNA
MD
01
—
779940
NCPPO
MD
01
—
88924103
CARE FIRST BLUE CTOSS BLU
DC
01
—
M575051
VALUE OPTIONS
MD
Enumeration date
08/24/2007
Last updated
02/06/2012
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