Organization
JOHNS HOPKINS BAYVIEW MEDICAL CENTER, INC.
Active
Other names
Child Satellite Mental Health Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA TARRIS OWENS (CHIEF COMPLIANCE OFFICER)
(410) 955-7930
Entity
Organization
Contact information
Practice address
5500 E LOMBARD ST RM 1025, BALTIMORE, MD 21224-1731
(410) 550-0070
(410) 550-0112
Mailing address
4940 EASTERN AVENUE, COMMUNITY PSYCHIATRY PROGRAM ATTN TOM MARSHALL, BALTIMORE, MD 21224
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
02/05/2020
Last updated
02/05/2020
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