Healthcare Provider Details

I. General information

NPI: 1407476955
Provider Name (Legal Business Name): RCC COMMUNITY SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/24/2020
Last Update Date: 07/28/2022
Certification Date: 07/28/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3 GREENWOOD PL STE 100
PIKESVILLE MD
21208-2701
US

IV. Provider business mailing address

3 GREENWOOD PL STE 100
PIKESVILLE MD
21208-2701
US

V. Phone/Fax

Practice location:
  • Phone: 443-854-0638
  • Fax:
Mailing address:
  • Phone: 443-854-0638
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: NATASHA WATSON
Title or Position: OWNER/PROVIDER
Credential: NP
Phone: 443-854-0638