Organization
ACCESS CARROLL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY LEE BLACK RN (EXECUTIVE DIRECTOR AND CEO)
(410) 871-3218
Entity
Organization
Contact information
Practice address
10 DISTILLERY RD STE 200, WESTMINSTER, MD 21157-5344
(410) 871-1478
(410) 871-3219
Mailing address
10 DISTILLERY DRIVE, SUITE 200, WESTMINSTER, MD 21157
(410) 871-1478
(410) 871-3219
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
06/08/2017
Last updated
07/21/2022
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