Organization
BALTIMORE BEHAVIORAL HEALTH, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM K HATHAWAY (CEO)
(410) 962-7190
Entity
Organization
Contact information
Practice address
1101 W PRATT STREET, BALTIMORE, MD 21223
(410) 962-7180
(410) 962-7194
Mailing address
1101 W PRATT ST, BALTIMORE, MD 21223
(410) 962-7180
(410) 962-7194
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
MD
261QC1500X
Community Health Clinic/Center
—
MD
261QH0100X
Health Service Clinic/Center
—
MD
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
MD
261QM0850X
Adult Mental Health Clinic/Center
—
MD
261QP2300X
Primary Care Clinic/Center
—
MD
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200803300
—
MD
Enumeration date
12/03/2007
Last updated
03/12/2008
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