Organization · Type 2 NPI

Vintage Healthcare Services L.l.c

Mental Health Clinic/Center (Including Community Mental Health Center) · Columbia, MD

NPI number 1336949577 Active

Practice location

10310 Swift Stream Pl Apt 109
Columbia, MD 21044-4881

Mailing address

1201 Connecticut Ave NW Ste 531
Washington, DC 20036-2729

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Community/Behavioral Health Agency 251S00000XNone listed
Clinic/Center 261Q00000XNone listed
Mental Health Clinic/Center (Including Community Mental Health Center) Primary 261QM0801XNone listed

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

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About NPI 1336949577

Vintage Healthcare Services L.l.c's National Provider Identifier is 1336949577, issued on Mar 17, 2025. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Columbia, MD. The record was last updated on Mar 18, 2025.