Organization
PNAG, INC
Active
Other names
Harbor Behavioral Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
PHYLLIS GUTHUA PSY.D. (PSYCHOLOGIST)
(410) 803-3427
Entity
Organization
Contact information
Practice address
1620 PROVIDENCE RD, TOWSON, MD 21286-1525
(410) 231-7556
Mailing address
1620 PROVIDENCE RD, TOWSON, MD 21286-1525
(410) 231-7556
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
02/09/2023
Last updated
01/15/2025
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