Organization · Type 2 NPI

Lower Shore Clinic, Inc.

Community/Behavioral Health Agency · Centreville, MD

NPI number 1770716458 Active

Practice location

120 Banjo Ln
Centreville, MD 21617-1002

Call (410) 341-3420 Map

Fax (410) 341-3397

Mailing address

716 N Division St
Salisbury, MD 21801-4156

Specialties and licenses

Taxonomy	Code	License
Community/Behavioral Health Agency Primary	251S00000X	23646 (MD)

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

29 other providers at this address

Other community/behavioral health agency providers in Centreville

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NPI record

NPI: 1770716458
Entity type: Organization (Type 2)
Issued: Aug 28, 2009
Last updated: Sep 3, 2009
Status: Active
Subpart: Yes of Lower Shore Clinic, Inc.

Other names

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Corsica River Mental Health Services · doing business as

Authorized official

Tuesday Trott
Administrator
(410) 341-3420

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1770716458

Lower Shore Clinic, Inc.'s National Provider Identifier is 1770716458, issued on Aug 28, 2009. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Centreville, MD. The record was last updated on Sep 3, 2009.