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Organization

BEHAVIORAL HEALTH NETWORK LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CLARK J HUDAK PH.D. (OWNER)
(410) 576-9191
Entity
Organization

Contact information

Practice address
1101 W. PRATT STREET, BALTIMORE, MD 21223
(410) 576-9191
(410) 576-9257
Mailing address
201 N CHARLES ST, SUITE 200, BALTIMORE, MD 21201-4102
(410) 576-9191
(410) 576-9257

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
08/02/2013
Last updated
08/02/2013
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