Provider Demographics
NPI:1164425609
Name:ARTHUR FLAX'S COMPREHENSIVE PSYCHOSOCIAL SERVICES, INC.
Entity Type:Organization
Organization Name:ARTHUR FLAX'S COMPREHENSIVE PSYCHOSOCIAL SERVICES, INC.
Other - Org Name:COMPREHENSIVE PSYCHOSOCIAL SERVICES
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ARTHUR
Authorized Official - Middle Name:
Authorized Official - Last Name:FLAX
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW-C
Authorized Official - Phone:410-653-6300
Mailing Address - Street 1:1401 REISTERSTOWN RD
Mailing Address - Street 2:STE L-2
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21208-6502
Mailing Address - Country:US
Mailing Address - Phone:410-653-6300
Mailing Address - Fax:410-653-6300
Practice Address - Street 1:1401 REISTERSTOWN RD
Practice Address - Street 2:STE L-2
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21208-6502
Practice Address - Country:US
Practice Address - Phone:410-653-6300
Practice Address - Fax:410-653-6300
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-05-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD100919 REG.11176261QR0405X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
Provider Identifiers
StateIdentifier IDID TypeIssuer
982MMedicare ID - Type UnspecifiedMEDICARE GROUP