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NPI Code Detail

MEDICARE: MOSAIC COMMUNITY SERVICES, INC.

MEDICARE: MOSAIC COMMUNITY SERVICES, 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
1261QR0405XSubstance Use Disorder Rehabilitation Clinic/Center100406MD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1528229283
Entity Type Code : Organization
Provider Name (Legal Business Name) : MOSAIC COMMUNITY SERVICES, INC.
Provider Business Mailing Address
First Line : PO BOX 45709
Second Line :
City : BALTIMORE
State : MD
Zip : 21297-5709
Country : US
Telephone Number : 410-453-9553
Fax Number : 443-659-2429
Provider Business Practice Location Address
First Line : 9201 PHILADELPHIA RD
Second Line :
City : ROSEDALE
State : MD
Zip : 21237-4318
Country : US
Telephone Number : 410-453-9553
Fax Number :
Authorized Official
Title or Position : DIRECTOR, REVENUE CYCLE
Name : SUE KESSLER
Credential :
Telephone Number : 410-382-8111
Provider Enumeration Date : 06/24/2008
Last Update Date : 05/26/2026

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Directions to “MOSAIC COMMUNITY SERVICES, INC. ” Practice Location

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