Provider Demographics
NPI:1932126760
Name:MPB GROUP, INC.
Entity Type:Organization
Organization Name:MPB GROUP, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/CLINICAL EXEC. DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MAGALIE
Authorized Official - Middle Name:
Authorized Official - Last Name:PIOU-BREWER
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:4107-304-8078
Mailing Address - Street 1:9650 SANTIAGO RD STE 11
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21045-3960
Mailing Address - Country:US
Mailing Address - Phone:410-730-4807
Mailing Address - Fax:410-730-2385
Practice Address - Street 1:9650 SANTIAGO RD STE 11
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21045-3960
Practice Address - Country:US
Practice Address - Phone:410-730-4807
Practice Address - Fax:410-730-2385
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & AdolescentGroup - Multi-Specialty