# FAMILY TREE

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

## Provider details

- **NPI number:** 1629316898
- **Authorized official:** STACEY BROWN (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (410) 889-2300

## Contact information

- **Practice address:** 2108 N CHARLES ST, BALTIMORE, MD 21218-5709
- **Practice address phone:** (410) 889-2300
- **Practice address fax:** (410) 637-8385
- **Mailing address:** 2108 N CHARLES ST, BALTIMORE, MD 21218-5709
- **Mailing address phone:** (410) 889-2300
- **Mailing address fax:** (410) 637-8385

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 104100000X | Social Worker | 03328 | MD | Yes |
| 174H00000X | Health Educator | — | NULL | Yes |
| 174H00000X | Health Educator | — | — | Yes |
| 207Q00000X | Family Medicine Physician | 03328 | MD | — |

## Other

- **Enumeration date:** 01/23/2013
- **Last updated:** 04/09/2026