Organization
MARIAN HOUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATIE DINEEN ALLSTON LCSW-C (EXECUTIVE DIRECTOR)
(410) 467-4121
Entity
Organization
Contact information
Practice address
949 GORSUCH AVE, BALTIMORE, MD 21218-3602
(410) 467-4121
(410) 467-6709
Mailing address
949 GORSUCH AVE, BALTIMORE, MD 21218-3602
(410) 467-4121
(410) 467-6709
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
448103800
—
MD
Enumeration date
01/29/2013
Last updated
01/29/2013
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