| Doctor Name: | RITA MACK |
| NPI Number: | 1134527344 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PMHCNS- BC, MSN |
| License Number: | RN523062L |
| Business Practice Address: | 10000 Anns Choice Way Warminster, PA - 189743527 |
| Business Phone Number: | 2154433850 |
| Business Fax Number: | 2154433963 |
| Mailing Address: | 5525 Research Park Dr, 4th Floor BALTIMORE |
| State: | MD |
| Postal Code: | 212284873 |
| Phone Number: | 2154433850 |
| Fax Number: | 2154433963 |
| NPI Enumeration Date: | 12/22/2014 |
| NPI Last Update Date: | 12/22/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WP0809X |
| License Number: | RN523062L |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Psych/Mental Health, Adult |
| Taxonomy Definition: | |