Organization
IMPACT BEHAVIORAL HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MUHAMMAD JARRAL (COO)
(443) 255-9973
Entity
Organization
Contact information
Practice address
3455 WILKENS AVE STE 205, BALTIMORE, MD 21229-5265
(443) 255-9973
Mailing address
3455 WILKENS AVE STE 205, BALTIMORE, MD 21229-5265
(443) 255-9973
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
01/23/2023
Last updated
06/20/2023
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