| Organization Name: | THE MENTAL HEALTH CENTER OF WESTERN MARYLAND, INC. |
| NPI Number: | 1891912507 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARK R. LANNON (EXECUTIVE DIRECTOR) |
| Mailing Address: | 150 Park Ave Frostburg |
| State: | MD US |
| Postal Code: | 215322218 |
| Phone Number: | 3016895034 |
| Fax Number: | 3016895036 |
| NPI Enumeration Date: | 04/20/2007 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 15874 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | MD |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |