| NPI | 1780171132 |
|---|---|
| Doing Business As | VILLA MARIA BEHAVIORAL HEALTH SERVICES- FREDERICK ADULT PRP |
| Entity Type | Organization |
| Authorized Contact | GLORIA OVERSMITH Billing Manager 667-600-2249 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2018-04-20 |
| Last Update Date | 2018-04-20 |