NPI 1417402314

Mosaic Community Services, INC.

Organisation Case Management Agency Aberdeen, MD

Practice location

Address: 15 S Parke St Suite 400, Aberdeen, MD 21001-4515
Phone: (410) 273-1399
Fax: (410) 273-2085
Mailing address: 1925 Greenspring Dr, Timonium, MD 21093-4128

Authorised official

Name: Jeff Richardson
Title: Chief Executive Officer
Phone: (410) 453-9553

Registered specialties

Case Management Agency Primary

Agencies Taxonomy 251B00000X

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Registry record

NPI: 1417402314
Entity type: Organization
NPI issued: 20 Aug 2016
Record last updated: 20 Aug 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.