Organization
NORTHWEST BALTIMORE YOUTH SERVICES, INC.
Active
Organization
NORTHWEST BALTIMORE YOUTH SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AUDREY F. BENNETT (EXECUTIVE DIRECTOR)
(410) 578-8100
Entity
Organization
Contact information
Practice address
3319 W BELVEDERE AVE, BALTIMORE, MD 21215-5103
(410) 578-8100
(443) 524-2628
Mailing address
3319 W BELVEDERE AVE, BALTIMORE, MD 21215-5103
(410) 578-8100
(443) 524-2628
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
903676
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
122447
21546
MD
Enumeration date
12/19/2005
Last updated
08/13/2009
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