Prevention &management Outreach Clinic Inc
Prevention &management Outreach Clinic Inc is a Preferred Provider Organization in Columbia, Maryland. Licensed in Maryland. Registered with an NPI since 2008.
- Licensed in
- MD
- In the registry since
- 2008
- Specialties on file
- 4
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
5941 Millrace Ct Unit D103Columbia, MD 21045-7204
Phone: (410) 312-3126
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Preferred Provider Organization (primary) | Taxonomy 305R00000X |
|---|---|
| Preferred Provider Organization | Taxonomy 305R00000X (MD) |
| Preferred Provider Organization | Taxonomy 305R00000X · Licence 0000000000 (MD) |
| Preferred Provider Organization | Taxonomy 305R00000X · Licence 30500000X (MD) |
Record details
| NPI number | 1619122504 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | 438-31-0969 |
| Authorized official | Lisa Bush — President/Ceo · (410) 312-3126 |
| Other names | Prevention & Management Outreach Clinic Inc. |
| NPI enumerated | November 19, 2008 |
| Last updated in NPPES | November 19, 2008 |
| Mailing address | 5941 Millrace Ct Unit D103, Columbia, MD 21045-7204 |
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-
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