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Organization
UNIVERSITY PSYCHOLOGICAL CENTER, INC.
Active
Organization
UNIVERSITY PSYCHOLOGICAL CENTER, INC.
Active
Other names
Recovery Network
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLARK JOSEPH HUDAK JR. PH.D. (PRESIDENT/OWNER)
(410) 576-9191
Entity
Organization
Contact information
Practice address
201 N CHARLES ST, SUITE 200, BALTIMORE, MD 21201-4102
(410) 576-9191
(410) 576-9257
Mailing address
201 N CHARLES ST, SUITE 200, BALTIMORE, MD 21201-4102
(410) 576-9191
(410) 576-9257
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
103T00000X
Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
2084P0800X
Psychiatry Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
023002200
—
MD
05
—
094981710
—
MD
Enumeration date
07/04/2006
Last updated
05/09/2012
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