Organization
ESSENTIAL BEHAVIORAL HEALTH SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH COLLINS (PRESIDENT AND CEO)
(410) 617-8026
Entity
Organization
Contact information
Practice address
2204 MARYLAND AVE, BALTIMORE, MD 21218-5625
(410) 617-8026
Mailing address
2204 MARYLAND AVE, BALTIMORE, MD 21218-5625
(410) 617-8026
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MH-1500
PRP REGISTRATION NUMBER
MD
Enumeration date
09/22/2014
Last updated
09/22/2014
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