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Organization
MY COVENANT PLACE BEHAVIORAL HEALTH
Active
Organization
MY COVENANT PLACE BEHAVIORAL HEALTH
Active
Parent organization
MY COVENANT PLACE BEHAVIORAL HEALTH
Organization subpart
Yes
Provider details
NPI number
Legal business name
MY COVENANT PLACE BEHAVIORAL HEALTH
Authorized official
LATISHA CARTER (PRESIDENT/CEO)
(410) 200-9290
Entity
Organization
Contact information
Practice address
10632 LITTLE PATUXENT PKWY STE 314-D, COLUMBIA, MD 21044-3273
(410) 660-9190
Mailing address
10632 LITTLE PATUXENT PKWY STE 314-D, COLUMBIA, MD 21044-3273
(410) 660-9190
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
12/06/2022
Last updated
12/06/2022
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