| Organization Name: | UPPER BAY COUNSELING & SUPPORT SERVICES, INC |
| NPI Number: | 1023496270 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RICH BAYER (CEO) |
| Mailing Address: | 626 Revolution St Havre De Grace |
| State: | MD US |
| Postal Code: | 210783320 |
| Phone Number: | 4109398744 |
| Fax Number: | 4103983416 |
| NPI Enumeration Date: | 05/08/2015 |
| NPI Last Update Date: | 05/08/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM0801X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Mental Health (Including Community Mental Health Center) |
| Taxonomy Definition: | |