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Organization
UNIVERSITY PSYCHOLOGICAL CENTER, INC
Active
Organization
UNIVERSITY PSYCHOLOGICAL CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLARK J HUDAK JR. PH.D. (CEO)
(410) 576-9191
Entity
Organization
Contact information
Practice address
21 W 25TH ST, BALTIMORE, MD 21218-5003
(410) 366-1717
(410) 889-4176
Mailing address
21 W 25TH ST, BALTIMORE, MD 21218-5003
(410) 366-1717
(410) 889-4176
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
MH-1881
MD
Other
Enumeration date
05/20/2016
Last updated
05/20/2016
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