Organization
ASSOCIATED CATHOLIC CHARITIES
Active
Other names
Villa Maria at Landsdowne, Villa Maria Behavioral Health Services of Lansdowne PRP Skills for Suc
Organization subpart
No
Provider details
NPI number
Authorized official
GLORIA REEVES (A/R AND BILLING MANAGER)
(667) 600-2249
Entity
Organization
Contact information
Practice address
2700 WASHINGTON AVE, BALTIMORE, MD 21227-3115
(667) 600-3984
Mailing address
2300 DULANEY VALLEY RD, TIMONIUM, MD 21093-2739
(667) 600-2249
(667) 600-4068
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
153800407
—
MD
Enumeration date
07/31/2008
Last updated
01/03/2020
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