Organization
PHA HOLISTIC HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN W THOMAS (EXECUTIVE DIRECTOR)
(717) 654-9007
Entity
Organization
Contact information
Practice address
300 E LOMBARD ST STE 810, BALTIMORE, MD 21202-3231
(717) 654-9007
Mailing address
300 E LOMBARD ST STE 810, BALTIMORE, MD 21202-3231
(717) 654-9007
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
10/05/2022
Last updated
07/07/2023
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