Provider Demographics
NPI:1750402715
Name:CENTURY MENTAL HEALTH, INC.
Entity type:Organization
Organization Name:CENTURY MENTAL HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:TAMARA
Authorized Official - Middle Name:EVA
Authorized Official - Last Name:LUBLINER
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:410-730-0552
Mailing Address - Street 1:5570 STERRETT PL
Mailing Address - Street 2:SUITE 101
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21044-2641
Mailing Address - Country:US
Mailing Address - Phone:410-730-0552
Mailing Address - Fax:410-715-4720
Practice Address - Street 1:5570 STERRETT PL
Practice Address - Street 2:SUITE 101
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21044-2641
Practice Address - Country:US
Practice Address - Phone:410-730-0552
Practice Address - Fax:410-715-4720
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD146LMedicare ID - Type Unspecified