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Organization
ASSOCIATED CATHOLIC CHARITIES, INC.
Active
Organization
ASSOCIATED CATHOLIC CHARITIES, INC.
Active
Other names
Fallstaff TBS 1:1
Organization subpart
No
Provider details
NPI number
Authorized official
GLORIA REEVES (ACCOUNTS RECEIVABLE AND BILLING MAN)
(676) 600-2249
Entity
Organization
Contact information
Practice address
6999 REISTERSTOWN RD, SUITE 9, BALTIMORE, MD 21215-1430
(410) 585-0598
Mailing address
2300 DULANEY VALLEY RD, TIMONIUM, MD 21093-2739
(667) 600-2249
(667) 600-4068
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
421122700
—
MD
Enumeration date
06/08/2012
Last updated
01/03/2020
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