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Organization
MARIAN HOUSE, INC.
Active
Organization
MARIAN HOUSE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE DINEEN ALLSTON LCSW-C (EXECUTIVE DIRECTOR)
(410) 467-4121
Entity
Organization
Contact information
Practice address
4105 OLD YORK RD, BALTIMORE, MD 21218-1237
(410) 467-4161
(410) 467-6709
Mailing address
949 GORSUCH AVE, BALTIMORE, MD 21218-3602
(410) 467-4121
(410) 467-6709
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
448103800
—
MD
Enumeration date
06/30/2023
Last updated
09/12/2023
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