Organization
JOHNS HOPKINS BAYVIEW MEDICAL CENTER, INC.
Active
Other names
Community Psychiatry Supported Employment RAISE
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA TARRIS OWENS (CHIEF COMPLIANCE OFFICER)
(410) 955-7930
Entity
Organization
Contact information
Practice address
5500 EAST LOMBARD STREET, ROOM 1025, BALTIMORE, MD 21224
(410) 550-0070
Mailing address
4940 EASTERN AVENUE, COMMUNITY PSYCHIATRY PROGRAM C/O THOMAS MARSHALL, BALTIMORE, MD 21224
(410) 550-0070
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
05/14/2020
Last updated
05/14/2020
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