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NPI Code Detail

MEDICARE: HARFORD CRISIS CENTER, INC.

MEDICARE: HARFORD CRISIS CENTER, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251B00000XCase Management Agency
22084P0800XPsychiatry Physician

General Provider Information

NPI Number : 1508334459
Entity Type Code : Organization
Provider Name (Legal Business Name) : HARFORD CRISIS CENTER, INC.
Provider Business Mailing Address
First Line : 520 UPPER CHESAPEAKE DR STE 405
Second Line :
City : BEL AIR
State : MD
Zip : 21014-4381
Country : US
Telephone Number : 443-643-3464
Fax Number : 443-643-3343
Provider Business Practice Location Address
First Line : 802 BALTIMORE PIKE STE A
Second Line :
City : BEL AIR
State : MD
Zip : 21014-4212
Country : US
Telephone Number : 443-643-3464
Fax Number : 443-643-3343
Authorized Official
Title or Position : CFO
Name : MARCUS THOMAS AUGUSTUS PRIOLO
Credential :
Telephone Number : 443-643-3344
Provider Enumeration Date : 11/08/2018
Last Update Date : 06/16/2022

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