Organization
NORTH BALTIMORE CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOLORES H. DAVIS (HR DIRECTOR)
(410) 366-4360
Entity
Organization
Contact information
Practice address
2225 N. CHARLES STREET, BALTIMORE, MD 21218
(410) 366-4360
(410) 243-7948
Mailing address
2225 N. CHARLES STREET, BALTIMORE, MD 21218
(410) 366-4360
(410) 243-7948
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
001983
MD
101YM0800X
Mental Health Counselor
Primary
—
MD
103TC1900X
Counseling Psychologist
001983
MD
103TC1900X
Counseling Psychologist
—
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007100500
—
MD
05
—
266781900
—
MD
05
—
589061600
—
MD
Enumeration date
08/15/2006
Last updated
07/30/2009
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