Organization
MARIAN HOUSE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE DINEEN ALLSTON LCSW-C (EXECUTIVE DIRECTOR)
(410) 467-4121
Entity
Organization
Contact information
Practice address
4105 OLD YORK RD, BALTIMORE, MD 21218-1237
(410) 467-4121
Mailing address
949 GORSUCH AVE, BALTIMORE, MD 21218-3602
(410) 467-4121
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
09/15/2023
Last updated
09/15/2023
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