Organization
HUMANIM INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GALE BRITTON (VDIRECTOR OF BILLING)
(410) 381-7171
Entity
Organization
Contact information
Practice address
6355 WOODSIDE CT, COLUMBIA, MD 21046-1071
(410) 381-7171
(410) 381-5137
Mailing address
PO BOX 64275, BALTIMORE, MD 21264-4275
(410) 381-7171
(410) 381-5137
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
258802100
—
MD
01
—
KJ92
CAREFIRST
MD
Enumeration date
07/13/2006
Last updated
07/24/2008
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