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Organization

ASSOCIATED CATHOLIC CHARITIES

Active
Other names
Villa Maria Behaviroal Health at Miller's Court OMHC
Organization subpart
No

Provider details

NPI number
Authorized official
ROBERT CANOSA PH.D. (DIRECTOR)
(410) 252-4700
Entity
Organization

Contact information

Practice address
2601 N HOWARD ST, SUITE 200, BALTIMORE, MD 21218-4666
(410) 727-4800
Mailing address
1966 GREENSPRING DR, SUITE 200, TIMONIUM, MD 21093-4117
(443) 798-3395

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
421155300
MD
Enumeration date
05/11/2012
Last updated
09/10/2012
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