Organization
BALTIMORE BEHAVIORAL HEALTH, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAMS HATHAWAY (CEO)
(410) 962-7180
Entity
Organization
Contact information
Practice address
200 S ARLINGTON AVE, BALTIMORE, MD 21223-2671
(410) 962-7180
(410) 962-7194
Mailing address
1101 WEST PRATT STREET, BALTIMORE, MD 21223-2671
(410) 962-7180
(410) 962-7194
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
309900800
—
MD
Enumeration date
09/01/2010
Last updated
09/01/2010
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