Organization
COMPTROLLER OF MARYLAND CENTRAL PAYROLL BUREAU
Active
Other names
Walter P. Carter Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ARCHIE WALLACE (CHIEF EXECUTIVE OFFICER)
(410) 209-6201
Entity
Organization
Contact information
Practice address
630 W FAYETTE ST, BALTIMORE, MD 21201
(410) 209-6204
(410) 209-6374
Mailing address
630 W FAYETTE ST, BALTIMORE, MD 21201
(410) 209-6204
(410) 209-6374
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
30072
MD
Other
Enumeration date
12/21/2005
Last updated
04/02/2008
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