Organization
UNIVERSITY PSYCHOLOGICAL CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLARK J HUDAK JR. PH.D. (OWNER/PRESIDENT)
(410) 576-9191
Entity
Organization
Contact information
Practice address
201 N CHARLES ST, SUITE 200, BALTIMORE, MD 21201-4102
(410) 576-9191
(410) 576-9257
Mailing address
201 N CHARLES ST, SUITE 200, BALTIMORE, MD 21201-4102
(410) 576-9191
(410) 576-9257
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
06/25/2014
Last updated
06/25/2014
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