Organization
JOHNS HOPKINS BAYVIEW MEDICAL CENTER, INC.
Active
Other names
Community Psychiatry Program- Child Mobile Treatment
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD BENNETT (PRESIDENT)
(410) 550-0781
Entity
Organization
Contact information
Practice address
5500 EAST LOMBARD STREET, ROOM 1025, BALTIMORE, MD 21224
(410) 550-0112
Mailing address
4940 EASTERN AVENUE, COMMUNITY PSYCHIATRY PROGRAM, BALTIMORE, MD 21224
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
12/27/2019
Last updated
12/27/2019
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