Organization
TENDER HEARTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TYRA SHANICE ROBERTS (PROGRAM DIRECTOR)
(410) 517-4279
Entity
Organization
Contact information
Practice address
1515 N FULTON AVE, BALTIMORE, MD 21217-1609
(410) 517-4279
Mailing address
3205 LORD BALTIMORE DR, WINDSOR MILL, MD 21244-2864
(410) 517-4279
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
MH-2173
MD
Other
Enumeration date
11/16/2016
Last updated
11/16/2016
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