| Baltimore Behavioral Health, Inc | |
|
1101 West Pratt Street Baltimore MD 21223 | |
| (410) 962-7180 | |
| (410) 962-7194 |
| Full Name | Baltimore Behavioral Health, Inc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 1101 West Pratt Street, Baltimore, Maryland |
| Authorized Official Name and Position | William Hathaway (CEO) |
| Authorized Official Contact | 4109627180 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Baltimore Behavioral Health, Inc 1101 West Pratt Street Baltimore MD 21223 Ph: (410) 962-7180 | Baltimore Behavioral Health, Inc 1101 West Pratt Street Baltimore MD 21223 Ph: (410) 962-7180 |
| NPI Number | 1629228846 |
|---|---|
| Provider Enumeration Date | 09/24/2008 |
| Last Update Date | 09/24/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629228846 | NPI | - | NPPES |
| 714601900 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (Maryland) | Primary |
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