# CITYWIDE BEHAVIORAL HEALTH LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225468507
- **Authorized official:** MS. PAMELA JOHNSON CRNP (NURSE PRACTITIONER)
- **Authorized official phone:** (410) 274-8388

## Contact information

- **Practice address:** 17 WARREN RD, STE 1-A, PIKESVILLE, MD 21208-5334
- **Practice address phone:** (410) 383-8300
- **Mailing address:** 17 WARREN ROAD, STE 1-A, PIKESVILLE, MD 21208
- **Mailing address phone:** (410) 383-8300

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 11/22/2013
- **Last updated:** 11/22/2013