Provider Demographics
NPI:1689090169
Name:SHILOH CENTER MUSIC THERAPHY SERVICES LLC
Entity Type:Organization
Organization Name:SHILOH CENTER MUSIC THERAPHY SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:P
Authorized Official - Last Name:SHILOH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-852-0489
Mailing Address - Street 1:PO BOX 604
Mailing Address - Street 2:
Mailing Address - City:MILLERSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21108-0604
Mailing Address - Country:US
Mailing Address - Phone:443-852-0489
Mailing Address - Fax:
Practice Address - Street 1:819 E PASADENA RD
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:MD
Practice Address - Zip Code:21122-4002
Practice Address - Country:US
Practice Address - Phone:443-852-0489
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SHILOH CENTER MUSIC THERAPHY SERVICES LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-03-08
Last Update Date:2014-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health