Organization
BK BEHAVIORAL HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BERNADETTE S KAMARA (PRESIDENT/CEO)
(301) 346-4687
Entity
Organization
Contact information
Practice address
1805 PENNSYLVANIA AVE.,, SUITE 102, BALTIMORE, MD 21217-4958
(240) 360-2637
(240) 360-2647
Mailing address
1805 PENNSYLVANIA AVE.,, SUITE 102, BALTIMORE, MD 21217-4958
(240) 360-2637
(240) 360-2647
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
—
—
261Q00000X
Clinic/Center
—
—
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
BH000298
—
MD
Enumeration date
05/08/2018
Last updated
04/11/2019
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