Organization
MY COVENANT PLACE BEHAVIORAL HEALTH
Active
Parent organization
MY COVENANT PLACE BEHAVIORAL HEALTH
Organization subpart
Yes
Provider details
NPI number
Legal business name
MY COVENANT PLACE BEHAVIORAL HEALTH
Authorized official
LATISHA CARTER (PRESIDENT/CEO)
(410) 200-9290
Entity
Organization
Contact information
Practice address
10630 LITTLE PATUXENT PKWY STE 314D, COLUMBIA, MD 21044-6216
(410) 200-9290
Mailing address
10630 LITTLE PATUXENT PKWY STE 113, COLUMBIA, MD 21044-6225
(410) 200-9290
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
01/09/2023
Last updated
01/09/2023
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