Organization
CENTER FOR CHILDREN & ADOLESCENTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC V VAN BUSKIRK MD (PARTNER)
(410) 788-3019
Entity
Organization
Contact information
Practice address
405 FREDERICK, SUITE #251, BALTIMORE, MD 21228
(410) 788-3019
(410) 788-3067
Mailing address
405 FREDERICK RD, SUITE #251, BALTIMORE, MD 21228
(410) 788-3019
(410) 788-3067
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
03/28/2007
Last updated
08/22/2020
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