Organization
FAMILYCHOICE CLINIC LLC
Active
Parent organization
FAMILYCHOICE CLINIC LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
FAMILYCHOICE CLINIC LLC
Authorized official
MARGARET T T OWOLABI (DIRECTOR)
(443) 825-2955
Entity
Organization
Contact information
Practice address
5513 YORK RD, BALTIMORE, MD 21212-3804
(443) 825-2955
(667) 212-2682
Mailing address
5513 YORK RD, BALTIMORE, MD 21212-3804
(667) 212-2682
(443) 835-1446
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
04/12/2021
Last updated
12/30/2023
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