Provider Demographics
NPI:1558530345
Name:SENTIENT NEUROCARE SERVICES INC
Entity Type:Organization
Organization Name:SENTIENT NEUROCARE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-666-2588
Mailing Address - Street 1:11011 MCCORMICK RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:HUNT VALLEY
Mailing Address - State:MD
Mailing Address - Zip Code:21031-8656
Mailing Address - Country:US
Mailing Address - Phone:410-666-2588
Mailing Address - Fax:443-281-5051
Practice Address - Street 1:11011 MCCORMICK RD
Practice Address - Street 2:SUITE 200
Practice Address - City:HUNT VALLEY
Practice Address - State:MD
Practice Address - Zip Code:21031-8656
Practice Address - Country:US
Practice Address - Phone:410-666-2588
Practice Address - Fax:443-281-5051
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-26
Last Update Date:2014-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty