Provider Demographics
NPI:1427409911
Name:METROPOLITAN MOBILE PSYCHIATRIC SERVICES, PC
Entity Type:Organization
Organization Name:METROPOLITAN MOBILE PSYCHIATRIC SERVICES, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:DR
Authorized Official - First Name:KEITH
Authorized Official - Middle Name:O'BRIAN
Authorized Official - Last Name:PLOWDEN
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:240-620-1759
Mailing Address - Street 1:PO BOX 49642
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD
Mailing Address - State:SC
Mailing Address - Zip Code:29649-0011
Mailing Address - Country:US
Mailing Address - Phone:240-620-1759
Mailing Address - Fax:
Practice Address - Street 1:111 WIMBLEDON CT
Practice Address - Street 2:
Practice Address - City:GREENWOOD
Practice Address - State:SC
Practice Address - Zip Code:29646-8542
Practice Address - Country:US
Practice Address - Phone:240-620-1759
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-26
Last Update Date:2016-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)