Organization
PUSH BEHAVIORAL HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH COLLINS (OWNER)
(410) 417-6868
Entity
Organization
Contact information
Practice address
9 CENTER PL, DUNDALK, MD 21222-4362
(410) 417-6868
Mailing address
1502 LAKESIDE AVE, BALTIMORE, MD 21218-3005
(443) 690-8029
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/21/2018
Last updated
09/21/2018
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