Organization
CITYWIDE BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA JOHNSON CRNP (CEO/OWNER)
(410) 274-8388
Entity
Organization
Contact information
Practice address
17 WARREN RD, BALTIMORE, MD 21208-5334
(410) 274-8388
Mailing address
17 WARREN RD, BALTIMORE, MD 21208-5334
(410) 274-8388
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/09/2021
Last updated
03/09/2021
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