Organization
URBAN VITALITY SOLUTIONS
Active
Other names
Urban Vitality Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
TACARIA GARDNER (CO OWNER)
(443) 904-8336
Entity
Organization
Contact information
Practice address
1400 W LOMBARD ST STE 1053, BALTIMORE, MD 21223-3134
(443) 904-8336
Mailing address
7201 ALDEN WAY UNIT 2018, HANOVER, MD 21076-2478
(443) 904-8336
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
03/28/2024
Last updated
03/28/2024
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