Organization
BIG GIBBY'S HAVEN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARIES GIBSON (CEO)
(443) 762-4929
Entity
Organization
Contact information
Practice address
1 E CHASE ST, BALTIMORE, MD 21202-2526
(443) 762-4929
Mailing address
1 E CHASE ST, BALTIMORE, MD 21202-2526
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
09/25/2025
Last updated
09/25/2025
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