# AUDACITY OF HOPE BEHAVIORAL HEALTH

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** AUDACITY OF HOPE BEHAVIORAL HEALTH
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1952845539
- **Legal business name:** AUDACITY OF HOPE BEHAVIORAL HEALTH
- **Authorized official:** RENARDO FOSTER (OWNER)
- **Authorized official phone:** (410) 246-0600

## Contact information

- **Practice address:** 2219 MARYLAND AVE, BALTIMORE, MD 21218-5627
- **Practice address phone:** (410) 246-0600
- **Practice address fax:** (866) 815-6746
- **Mailing address:** 2219 MARYLAND AVE, BALTIMORE, MD 21218-5627
- **Mailing address phone:** (410) 246-0600
- **Mailing address fax:** (866) 815-6746

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 171M00000X | Case Manager/Care Coordinator | — | NULL | Yes |
| 171M00000X | Case Manager/Care Coordinator | — | — | Yes |

## Other

- **Enumeration date:** 12/15/2016
- **Last updated:** 12/15/2016