NPI | 1801383559 |
---|---|
Doing Business As | VILLA MARIA BEHAVIORAL HEALTH SERVICES - DUNDALK PRP |
Entity Type | Organization |
Authorized Contact | GLORIA REEVES Billing Manager 667-600-2249 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2018-04-18 |
Last Update Date | 2020-01-03 |