NPI | 1386283521 |
---|---|
Doing Business As | ERC MARYLAND |
Entity Type | Organization |
Authorized Contact | MARINA SHEPEL Contracting And Credentialing Manag 425-214-9321 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
Enumeration Date | 2020-01-06 |
Last Update Date | 2021-12-07 |