Organization
MY COVENANT PLACE BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATISHA CARTER CARTER (CEO/EXECUTIVE DIRECTOR)
(443) 759-3355
Entity
Organization
Contact information
Practice address
5109 YORK RD STE C2ND, BALTIMORE, MD 21212-4399
(443) 759-3355
(443) 990-0009
Mailing address
5109 YORK RD STE C2ND, BALTIMORE, MD 21212-4399
(443) 759-3355
(443) 990-0009
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
12/12/2022
Last updated
12/12/2022
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