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Organization

ST. AGNES HEALTHCARE, INC.

Active
Parent organization
ST. AGNES HEALTHCARE, INC.
Other names
St. Agnes Mental Health
Organization subpart
Yes

Provider details

NPI number
Legal business name
ST. AGNES HEALTHCARE, INC.
Authorized official
MR. WILLIAM B HIGGINBOTHAM (PRESIDENT/CEO)
(667) 234-3162
Entity
Organization

Contact information

Practice address
900 CATON AVE, BALTIMORE, MD 21229-5201
(667) 234-8732
Mailing address
3585 WASHINGTON BLVD, HALETHORPE, MD 21227-1676
(667) 234-2149
(667) 234-8644

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
1041C0700X
Clinical Social Worker
2084P0800X
Psychiatry Physician
Primary

Other

Enumeration date
05/11/2017
Last updated
10/12/2023
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