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Upper Bay Counseling & Support Services, Inc

Organization Active NPI Mental Health Clinic/Center (Including Community Mental Health Center) · Cecilton, MD

NPI 1144771908 · NPPES record last updated Oct 17, 2016

Key facts

NPI
1144771908
Entity type
Organization (NPI type 2)
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Legal business name
UPPER BAY COUNSELING & SUPPORT SERVICES, INC
Practice address
251 S Bohemia Ave
Cecilton, MD 21913-1010
Phone
(410) 996-5104
Fax
(410) 398-3416
NPI assigned
Oct 17, 2016
Organization subpart
No

Authorized official

Name
Rich Bayer, PHD
Title
Ceo
Phone
(410) 996-5104

Corporate family (same tax ID) 21

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Upper Bay Counseling Support Services Inc (22 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Yes

Addresses

Primary practice location

251 S Bohemia Ave
Cecilton, MD 21913-1010

Mailing address

200 Booth St
Elkton, MD 21921-5657
Phone (410) 996-5104

Other providers in Cecilton, MD

All providers in Cecilton, MD · Mental Health Clinic/Center (Including Community Mental Health Center) in Maryland

Sources for this page

Verify at the official NPI Registry.