Organization
UNIVERSITY PSYCHOLOGOCAL CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLARK J HUDAK JR. PH.D. (PRESIDENT/OWNER)
(410) 576-9191
Entity
Organization
Contact information
Practice address
21 W 25TH ST, BALTIMORE, MD 21218-5003
(410) 366-1717
(410) 889-4176
Mailing address
6201 GREENBELT RD, SUITE U-18, BERWYN HEIGHTS, MD 20740-2354
(410) 576-9191
(410) 576-9257
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MH-1587
MD
Other
Enumeration date
10/26/2016
Last updated
10/26/2016
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