Organization
CITYWIDE BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA JOHNSON CRNP (OWNER CEO)
(410) 274-8388
Entity
Organization
Contact information
Practice address
1516 W FAIRMOUNT AVE, BALTIMORE, MD 21223-1780
(410) 929-2314
(410) 484-8107
Mailing address
17 WARREN RD, PIKESVILLE, MD 21208-5334
(410) 929-2314
(410) 484-8107
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
Other
Enumeration date
09/02/2020
Last updated
11/11/2020
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