Organization
SHALOM TIKVAH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICOLE GLICK PSYD (EXECUTIVE DIRECTOR)
(410) 446-5380
Entity
Organization
Contact information
Practice address
2045 MYRTLEWOOD RD, BALTIMORE, MD 21209-3732
(410) 446-5380
Mailing address
2045 MYRTLEWOOD RD, BALTIMORE, MD 21209-3732
(410) 446-5380
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
04387
MD
Other
Enumeration date
08/23/2017
Last updated
07/21/2022
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