Provider Demographics
NPI:1881392066
Name:STABILITY MENTAL HEALTH CLINIC LLC
Entity type:Organization
Organization Name:STABILITY MENTAL HEALTH CLINIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:
Authorized Official - Last Name:NDI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-565-5278
Mailing Address - Street 1:1314 BEDFORD AVE STE 101
Mailing Address - Street 2:
Mailing Address - City:PIKESVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21208-3737
Mailing Address - Country:US
Mailing Address - Phone:445-413-6100
Mailing Address - Fax:
Practice Address - Street 1:1314 BEDFORD AVE STE 101
Practice Address - Street 2:
Practice Address - City:PIKESVILLE
Practice Address - State:MD
Practice Address - Zip Code:21208-3737
Practice Address - Country:US
Practice Address - Phone:445-413-6100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-17
Last Update Date:2023-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)