Organization
BALTIMORE COUNTY DEPT OF HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID TAYLOR (PRIVACY OFFICER)
(410) 887-2077
Entity
Organization
Contact information
Practice address
10151 YORK RD, SUITE 102, COCKEYSVILLE, MD 21030-3314
(410) 887-7671
(410) 377-8132
Mailing address
6401 YORK RD, 3RD FLOOR, BALTIMORE, MD 21212-2152
(410) 887-3740
(410) 377-4751
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
750614
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
58460212
CAREFIRST BC BS
MD
Enumeration date
01/25/2007
Last updated
08/22/2020
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