MAGELLAN PROVIDER SERVICES OF CA PC

COLUMBIA, MD
NPI1548984404
Entity TypeOrganization
Authorized ContactBRIAN FREY
Chief Financial Officer
314-406-8632
Organization Subpart ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2022-10-03
Last Update Date2022-10-03
Business Address
MAGELLAN PROVIDER SERVICES OF CA PC
8621 ROBERT FULTON DR
COLUMBIA, MD 21046-2620
Phone number: 833-605-0634
Mailing Address
MAGELLAN PROVIDER SERVICES OF CA PC
8621 ROBERT FULTON DR
COLUMBIA, MD 21046-2620
Phone number: 833-605-0634
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