Organization
INSTITUTES FOR BEHAVIOR RESOURCES, INC.
Active
Other names
REACH Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
VICKIE WALTERS MSW (EXECUTIVE DIRECTOR)
(410) 752-6080
Entity
Organization
Contact information
Practice address
2104 MARYLAND AVE, BALTIMORE, MD 21218-5612
(410) 752-6080
Mailing address
2104 MARYLAND AVE, BALTIMORE, MD 21218-5612
(410) 752-6080
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
236101900
—
MD
Enumeration date
05/26/2015
Last updated
12/16/2019
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