Organization
FAMILY THERAPY BEHAVIOR SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE WALLACE EJIM (CO-OWNER)
(410) 483-7358
Entity
Organization
Contact information
Practice address
3240 BELAIR RD STE B2ND, BALTIMORE, MD 21213-1228
(410) 483-7358
Mailing address
3240 BELAIR RD STE B2ND, BALTIMORE, MD 21213-1228
(410) 483-7358
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/28/2017
Last updated
07/21/2022
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