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Organization
AUDACITY OF HOPE BEHAVIORAL HEALTH
Active
Organization
AUDACITY OF HOPE BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RENARDO FOSER (CHIEF EXECUTIVE OFFICER)
(410) 246-0600
Entity
Organization
Contact information
Practice address
2219 MARYLAND AVE, BALTIMORE, MD 21218-5627
(410) 246-0600
Mailing address
2219 MARYLAND AVE, BALTIMORE, MD 21218-5627
(410) 246-0600
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/06/2016
Last updated
10/06/2016
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