Organization
DANIEL J. LEVY, MD, PA
Active
Other names
THE CHILD AND TEEN WELLNESS CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL J LEVY M.D. (PRESIDENT)
(410) 363-1843
Entity
Organization
Contact information
Practice address
10085 RED RUN BLVD, SUITE 201, OWINGS MILLS, MD 21117-4836
(410) 363-1843
Mailing address
10085 RED RUN BLVD, SUITE 201, OWINGS MILLS, MD 21117-4836
(410) 363-1843
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5589410P00
—
MD
Enumeration date
11/16/2016
Last updated
02/08/2017
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