Provider Demographics
NPI:1477561801
Name:RCI CLINICAL PSYCHIATRIC SERVICES, INC.
Entity Type:Organization
Organization Name:RCI CLINICAL PSYCHIATRIC SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:KATHE
Authorized Official - Middle Name:A
Authorized Official - Last Name:BRYANT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-327-6503
Mailing Address - Street 1:3. S FREDERICK STREET
Mailing Address - Street 2:SUITE 905
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21202-4304
Mailing Address - Country:US
Mailing Address - Phone:410-327-6503
Mailing Address - Fax:410-327-6825
Practice Address - Street 1:3. S FREDERICK STREET
Practice Address - Street 2:SUITE 905
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21202-4304
Practice Address - Country:US
Practice Address - Phone:410-327-6503
Practice Address - Fax:410-327-6825
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-03
Last Update Date:2012-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD12773261QC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health