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Organization

DIAMONDS ON THE RISE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ELISA TYLER (EXECUTIVE DIRECTOR)
(410) 752-0700
Entity
Organization

Contact information

Practice address
3204 FREDERICK AVE, BALTIMORE, MD 21229-3806
(410) 752-0700
Mailing address
3204 FREDERICK AVE, BALTIMORE, MD 21229-3806
(410) 752-0700

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Enumeration date
09/04/2019
Last updated
09/04/2019
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