MEDICARE: SYLOVIA HEALTH SYSTEMS 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
1	251S00000X	Community/Behavioral Health Agency	LCSW-C	MD

General Provider Information

NPI Number	:	1992047021
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SYLOVIA HEALTH SYSTEMS INC

Provider Business Mailing Address
First Line	:	9810 1/2 LIBERTY RD
Second Line	:
City	:	RANDALLSTOWN
State	:	MD
Zip	:	21133-2007
Country	:	US
Telephone Number	:	443-438-9723
Fax Number	:

Provider Business Practice Location Address
First Line	:	9810 1/2 LIBERTY RD
Second Line	:
City	:	RANDALLSTOWN
State	:	MD
Zip	:	21133-2007
Country	:	US
Telephone Number	:	443-438-9723
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	DR. ANDREW BROWN
Credential	:	M.D/ LCPC
Telephone Number	:	443-438-9723

Provider Enumeration Date	:	03/27/2013
Last Update Date	:	03/27/2013

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