Mosaic Community Services, Inc

LBN: Mosaic Community Services, Inc
Mosaic Community Services, Inc is an health care organization with primary practice located at 9201 Philadelphia Rd , Baltimore MD 21237-4318. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty. Mosaic Community Services, Inc can be contacted via phone (410) 574-7700, or through Richardson, Jeff via phone (410) 453-9553.

Contact Information

Primary practice address
9201 Philadelphia Rd Baltimore MD 21237-4318
Phone: (410) 574-7700
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Richardson, Jeff CEO
Phone: (410) 453-9553

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X MH-2043 Maryland

Profile Details

NPI number 1124470067
LBN Legal business name Mosaic Community Services, Inc
DBA Doing business as
Authorized official Richardson, Jeff CEO
Entity Organization
Organization subpart 1 No
Enumeration date Jul 3rd, 2016
Last updated Jul 3rd, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124470067 NPPES
Maryland Other MH2043 DHMH LICENSE

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