Organization
TIME ORGANIZATION, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LAMONT ANTHONY ELLIS M.ED. (EXECUTIVE DIRECTOR)
(434) 250-5784
Entity
Organization
Contact information
Practice address
7310 RITCHIE HWY STE 100, GLEN BURNIE, MD 21061-3170
(434) 704-1082
(434) 749-0221
Mailing address
2901 DRUID PARK DR, SUITE A202, BALTIMORE, MD 21215-8102
(410) 225-0062
(410) 225-0184
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MH-1146
MD
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
408791700
—
MD
05
—
421961900
—
MD
Enumeration date
11/20/2012
Last updated
07/08/2019
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