Organization
ARCHIBALD OPTIMAL HEALTH SERVICES, LLC
Active
Organization
ARCHIBALD OPTIMAL HEALTH SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL ARCHIBALD (PROGRAM DIRECTOR)
(410) 357-1404
Entity
Organization
Contact information
Practice address
1431 E BALTIMORE ST, BALTIMORE, MD 21231-1405
(410) 258-1872
(410) 342-4130
Mailing address
5919A YORK RD, BALTIMORE, MD 21212-3027
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
LC2342
MD
101YP2500X
Professional Counselor
LC2783
MD
1041C0700X
Clinical Social Worker
Primary
11283
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
732960
73960
MD
Enumeration date
05/26/2016
Last updated
01/29/2024
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