Organization
HUMANIM TBS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI SOMERVILLE (COO)
(410) 381-7171
Entity
Organization
Contact information
Practice address
6355 WOODSIDE CT, COLUMBIA, MD 21046-1071
(410) 381-7171
Mailing address
6355 WOODSIDE CT, COLUMBIA, MD 21046-1071
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
388505400
—
MD
Enumeration date
05/08/2021
Last updated
05/08/2021
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