Organization
FREE BALTIMORE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NORTHWEST REGISTERED AGENT SERVICES (REGISTERED AGENT)
(443) 416-5667
Entity
Organization
Contact information
Practice address
1120 N CHARLES ST # 303, BALTIMORE, MD 21201-5592
(443) 416-5667
Mailing address
PO BOX 26662, BALTIMORE, MD 21207-0462
(443) 416-5667
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
11/20/2019
Last updated
06/24/2022
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