Organization
CC BEHAVIORAL HEALTH LTD
Active
Other names
CC Behavioral Health LTD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CORALIE CASTRO PSY.D., LCPC (PRESIDENT)
(773) 540-7274
Entity
Organization
Contact information
Practice address
2324 W JOPPA RD STE 130, LUTHERVILLE, MD 21093
(773) 540-7274
Mailing address
2324 W JOPPA RD STE 130, LUTHERVILLE, MD 21093-4615
(773) 540-7274
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
103T00000X
Psychologist
—
—
Other
Enumeration date
01/15/2019
Last updated
01/15/2019
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