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Organization
PARKER PSYCHIATRIC SERVICES, INCORPORATED
Active
Organization
PARKER PSYCHIATRIC SERVICES, INCORPORATED
Active
Parent organization
PARKER PSYCHIATRIC SERVICES, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
PARKER PSYCHIATRIC SERVICES, INC.
Authorized official
MR. GARY PARKER (CEO)
(410) 440-0317
Entity
Organization
Contact information
Practice address
940 MADISON AVE STE 202, BALTIMORE, MD 21201-2113
(410) 440-0317
(443) 434-0110
Mailing address
940 MADISON AVE STE 202, BALTIMORE, MD 21201-2113
(410) 440-0317
(443) 434-0110
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
422901100
—
MD
Enumeration date
12/17/2018
Last updated
12/17/2018
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