# JOHNS HOPKINS BAYVIEW MEDICAL CENTER, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Community Psychiatry Program-Supported Employment
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194362152
- **Authorized official:** PAMELA TARRIS OWENS (CHIEF COMPLIANCE OFFICER)
- **Authorized official phone:** (410) 955-7930

## Contact information

- **Practice address:** 5500 E LOMBARD ST RM 1025, BALTIMORE, MD 21224-1731
- **Practice address phone:** (410) 550-0070
- **Practice address fax:** (410) 550-0112
- **Mailing address:** 4940 EASTERN AVENUE, COMMUNITY PSYCHIATRY PROGRAM C/O THOMAS MARSHALL, BALTIMORE, MD 21224
- **Mailing address phone:** (410) 550-0070
- **Mailing address fax:** (410) 550-0112

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | NULL | Yes |

## Other

- **Enumeration date:** 12/09/2019
- **Last updated:** 12/09/2019