Main Street Community Mental Health Center

LBN: Main Street Mobile Treatment Associates
Main Street Community Mental Health Center is an health care organization with primary practice located at 37 Main St , Reisterstown MD 21136-1236. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Main Street Mobile Treatment Associates can be contacted via phone (410) 526-7882, or through Ryan, Pamala via phone (410) 654-6658.

Contact Information

Primary practice address
37 Main St Reisterstown MD 21136-1236
Phone: (410) 526-7882
Fax: (410) 526-9855
Website:
Map and Directions
Authorized official contact:
Name: Ryan, Pamala Registered Nurse (RN)
Phone: (410) 654-6658

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X Maryland

Profile Details

NPI number 1154511236
LBN Legal business name Main Street Mobile Treatment Associates
DBA Doing business as Main Street Community Mental Health Center
Authorized official Ryan, Pamala Registered Nurse (RN)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 26th, 2007
Last updated Feb 28th, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154511236 NPPES
Maryland MEDICAID 749002000

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