Organization
MARIAN HOUSE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATIE ALLSTON LCSW-C (EXECUTIVE DIRECTOR)
(410) 467-4121
Entity
Organization
Contact information
Practice address
949 GORSUCH AVE, BALTIMORE, MD 21218-3602
(410) 467-4121
(410) 467-6709
Mailing address
949 GORSUCH AVE, BALTIMORE, MD 21218-3602
(410) 467-4121
(410) 467-6709
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
11/02/2011
Last updated
11/02/2011
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