Organization
MERCY MENTAL HEALTHCARE SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. OMOLARA O ADEOLA (CEO)
(443) 677-7130
Entity
Organization
Contact information
Practice address
20 S HILTON ST, BALTIMORE, MD 21229-3724
(410) 415-6505
(410) 415-6506
Mailing address
20 S HILTON ST, BALTIMORE, MD 21229-3724
(410) 415-6505
(410) 415-6506
Taxonomy
Speciality
Code
Description
License number
State
103TR0400X
Rehabilitation Psychologist
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
BH001341
—
MD
Enumeration date
11/05/2018
Last updated
06/11/2019
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