Provider Demographics
NPI:1588810972
Name:DHMH UPPER SHORE COMMUNITY MENTAL HEALTH
Entity Type:Organization
Organization Name:DHMH UPPER SHORE COMMUNITY MENTAL HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN CLINICAL STAFF
Authorized Official - Prefix:DR
Authorized Official - First Name:HARUN
Authorized Official - Middle Name:
Authorized Official - Last Name:EVCIMEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:410-778-6800
Mailing Address - Street 1:300 SCHEELER ROAD
Mailing Address - Street 2:
Mailing Address - City:CHESTERTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21620
Mailing Address - Country:US
Mailing Address - Phone:410-778-6800
Mailing Address - Fax:
Practice Address - Street 1:300 SCHEELER ROAD
Practice Address - Street 2:
Practice Address - City:CHESTERTOWN
Practice Address - State:MD
Practice Address - Zip Code:21620
Practice Address - Country:US
Practice Address - Phone:410-778-6800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-18
Last Update Date:2008-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD66971283Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes283Q00000XHospitalsPsychiatric Hospital