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Organization
ASSOCIATED CATHOLIC CHARITIES
Active
Organization
ASSOCIATED CATHOLIC CHARITIES
Active
Other names
Villa Maria Behavioral Health Services - In Home PRP Level 2
Organization subpart
No
Provider details
NPI number
Authorized official
GLORIA REEVES (A/R AND BILLING MANAGER)
(667) 600-2249
Entity
Organization
Contact information
Practice address
2601 N HOWARD ST, SUITE 200, BALTIMORE, MD 21218-4666
(410) 685-2362
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
—
423739100
—
MD
Enumeration date
05/06/2015
Last updated
01/03/2020
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