# BEHAVIORAL HEALTH LEADERSHIP INSTITUTE, INC

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

## Provider details

- **NPI number:** 1326525973
- **Authorized official:** DEBORAH AGUS JD (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (410) 367-5878

## Contact information

- **Practice address:** 401 EDGAR STREET (VAN), BALTIMORE, MD 21202
- **Practice address phone:** (410) 367-5878
- **Mailing address:** 2200 ARDEN RD, BALTIMORE, MD 21209-4205
- **Mailing address phone:** (410) 367-5878

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RA0401X | Addiction Medicine (Internal Medicine) Physician | — | NULL | Yes |
| 207RA0401X | Addiction Medicine (Internal Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/26/2018
- **Last updated:** 07/26/2018