| NPI | 1447554662 |
|---|---|
| Doing Business As | MOUNTAIN MD PRP |
| Doing Business As | VILLA MARIA BEHAVIORAL HEALTH SERVICES OF MOUNTAIN MARYLAND PRP |
| Entity Type | Organization |
| Authorized Contact | GLORIS REEVES A/R And Billing Manager 667-600-2249 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Enumeration Date | 2011-01-03 |
| Last Update Date | 2020-01-03 |