Organization
CITYWIDE BEHAVIORAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PAMELA JOHNSON CRNP (NURSE PRACTITIONER)
(410) 274-8388
Entity
Organization
Contact information
Practice address
17 WARREN RD, STE 1-A, PIKESVILLE, MD 21208-5334
(410) 383-8300
Mailing address
17 WARREN ROAD, STE 1-A, PIKESVILLE, MD 21208
(410) 383-8300
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/22/2013
Last updated
11/22/2013
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