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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