# CITYWIDE BEHAVIORAL HEALTH

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Citywide Health Corporation
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881100857
- **Authorized official:** PAMELA JOHNSON CRNP (OWNER)
- **Authorized official phone:** (410) 274-8688

## Contact information

- **Practice address:** 17 WARREN RD STE 20B, BALTIMORE, MD 21208-5334
- **Practice address phone:** (410) 929-2314
- **Practice address fax:** (410) 484-8107
- **Mailing address:** 17 WARREN RD STE 20B, BALTIMORE, MD 21208-5334
- **Mailing address phone:** (410) 929-2314
- **Mailing address fax:** (410) 484-8107

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |
| 364SP0807X | Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist | — | NULL | — |
| 364SP0807X | Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist | — | — | — |

## Other

- **Enumeration date:** 12/28/2017
- **Last updated:** 12/28/2017