Organization
BON SECOURS
Active
Parent organization
BON SECOUR BALTIMORE HEALTH SYSTEM
Organization subpart
Yes
Provider details
NPI number
Legal business name
BON SECOUR BALTIMORE HEALTH SYSTEM
Authorized official
MR. ADAM GOMEZ LCSW-C (CLINICAL DIRECTOR)
(410) 383-5100
Entity
Organization
Contact information
Practice address
3101 TOWANDA AVE, BALTIMORE, MD 21215-7827
(410) 383-5100
Mailing address
3101 TOWANDA AVE, BALTIMORE, MD 21215-7827
(410) 383-5100
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/31/2009
Last updated
12/31/2009
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