Organization
B.W. ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DEVON BLACKWOOD LCADC (OWNER)
(443) 570-5402
Entity
Organization
Contact information
Practice address
7902 BELAIR RD BLDG SUITE3, BALTIMORE, MD 21236-3707
(443) 570-5402
Mailing address
8527 RAMORT DR, BALTIMORE, MD 21236-3013
(443) 570-5402
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
LCADC
MD
Other
Enumeration date
12/19/2017
Last updated
12/19/2017
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