Organization
BETH RAPHA BEHAVIORAL HEALTH SYSTEM, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IMAMU A BARAKA MHS, LCPC (CHIEF, BEHAVIORAL HEALTH)
(410) 622-5392
Entity
Organization
Contact information
Practice address
1 E CHASE ST, SUITE 1120, BALTIMORE, MD 21202-2526
(410) 622-5392
Mailing address
1 E CHASE ST, SUITE 1120, BALTIMORE, MD 21202-2526
(410) 622-5392
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC7148
MD
Other
Enumeration date
06/23/2016
Last updated
06/23/2016
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