| Behavioral Health Network Llc | |
|
1101 W. Pratt Street Baltimore MD 21223 | |
| (410) 576-9191 | |
| (410) 576-9257 |
| Full Name | Behavioral Health Network Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1101 W. Pratt Street, Baltimore, Maryland |
| Authorized Official Name and Position | Clark J Hudak (OWNER) |
| Authorized Official Contact | 4105769191 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavioral Health Network Llc 201 N Charles St Suite 200 Baltimore MD 21201-4102 Ph: (410) 576-9191 | Behavioral Health Network Llc 1101 W. Pratt Street Baltimore MD 21223 Ph: (410) 576-9191 |
| NPI Number | 1639501448 |
|---|---|
| Provider Enumeration Date | 08/02/2013 |
| Last Update Date | 08/02/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639501448 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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