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Organization
RIDGE 103 LLC
Active
Organization
RIDGE 103 LLC
Active
Other names
Ridge 103 OMHC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ORLANDO ROSS DAVIS M.D. (MEDICAL DIRECTOR)
(410) 373-0070
Entity
Organization
Contact information
Practice address
1235 E MONUMENT ST, BALTIMORE, MD 21202-5327
(410) 373-0070
(410) 327-0542
Mailing address
1235 EAST MONUMENT STREET, BALTIMORE, MD 21202
(410) 373-0070
(410) 327-0542
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
MD
Other
Enumeration date
05/18/2007
Last updated
08/22/2020
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