Organization
PARKER PSYCHIATRIC SERVICES, INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY HARRY PARKER MSW (CEO)
(410) 440-0317
Entity
Organization
Contact information
Practice address
940 MADISON AVE STE 202, BALTIMORE, MD 21201-2113
(410) 777-8710
(443) 434-0110
Mailing address
940 MADISON AVE STE 202, BALTIMORE, MD 21201-2113
(410) 440-0317
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
MH - 1474
MD
Other
Enumeration date
08/07/2014
Last updated
01/29/2019
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