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Organization
SETON MEDICAL GROUP, INC
Active
Organization
SETON MEDICAL GROUP, INC
Active
Parent organization
ASCENSION HEALTH
Other names
AMG Mental Health Catonsville
Organization subpart
Yes
Provider details
NPI number
Legal business name
ASCENSION HEALTH
Authorized official
JOSEPH WILLIAM COOK M.D. (PRESIDENT)
(667) 234-2100
Entity
Organization
Contact information
Practice address
6501 BALTIMORE NATIONAL PIKE STE D, CATONSVILLE, MD 21228-3923
(667) 234-2100
Mailing address
3585 WASHINGTON BLVD, HALETHORPE, MD 21227-1676
(667) 234-2149
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
04/30/2020
Last updated
04/30/2020
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