Organization
UBA PHYSICIANS GROUP, P.A.
Active
Parent organization
URBAN BEHAVIORAL ASSOCIATES, P.A.
Organization subpart
Yes
Provider details
NPI number
Legal business name
URBAN BEHAVIORAL ASSOCIATES, P.A.
Authorized official
TIFFANY FOOKS (BUSINESS MANAGER)
(410) 779-3102
Entity
Organization
Contact information
Practice address
2310 N CHARLES ST, BALTIMORE, MD 21218-5127
(410) 779-3102
Mailing address
2310 N CHARLES ST, BALTIMORE, MD 21218-5127
(410) 779-3102
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
04/07/2008
Last updated
04/07/2008
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