Organization
HUMANIM MENTAL HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GALE BRITTON (DIR OF BILLING)
(410) 381-7171
Entity
Organization
Contact information
Practice address
6505 RIDENOUR WAY E # 1A, ELDERSBURG, MD 21784-6557
(443) 300-6362
(667) 400-6110
Mailing address
PO BOX 64275, BALTIMORE, MD 21264-4275
(410) 381-7171
(410) 381-5137
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
405765100
—
MD
Enumeration date
07/13/2006
Last updated
04/13/2023
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