Organization
ONE PROMISE BEHAVIORAL HEALTH
Active
Other names
One Promise Behavioral Health
Organization subpart
No
Provider details
NPI number
Authorized official
CRAIG LIPPENS (PROGRAM ADMINISTRATOR)
(443) 835-2681
Entity
Organization
Contact information
Practice address
4314 HAMILTON AVE, BALTIMORE, MD 21206-3641
(443) 835-2681
Mailing address
6211 BELAIR RD, BALTIMORE, MD 21206-1942
(443) 835-2681
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300136900
—
MD
Enumeration date
02/01/2021
Last updated
09/01/2022
Update your record
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