Organization
GOODTIME FAMILY CARE, P.C.
Active
Other names
Amaris Behavioral Health
Organization subpart
No
Provider details
NPI number
Authorized official
RONDA L HERRY CPPM (PRACTICE MANAGER)
(410) 325-5700
Entity
Organization
Contact information
Practice address
7131 LIBERTY RD STE 103, GWYNN OAK, MD 21207-4580
(410) 325-5700
(410) 325-5765
Mailing address
5805 MORAVIA RD, BALTIMORE, MD 21206-6133
(410) 325-5700
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
819601000
—
MD
Enumeration date
05/28/2007
Last updated
09/14/2024
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