Organization
TIME OUTPATIENT MENTAL HEALTH CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LAUREN N HERRON LCSW-C (CLINICAL DIRECTOR)
(410) 227-9426
Entity
Organization
Contact information
Practice address
2901 DRUID PARK DR STE A210, BALTIMORE, MD 21215-8137
(410) 225-0062
(410) 225-0184
Mailing address
2901 DRUID PARK DR STE A202, BALTIMORE, MD 21215-8131
(410) 225-0062
(410) 225-0184
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
421961901
—
MD
Enumeration date
01/24/2014
Last updated
07/08/2019
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