Organization
HARBOR AREA BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ARUNDHATI GOGINENI PH.D (PRESIDENT)
(443) 869-5303
Entity
Organization
Contact information
Practice address
649 WASHINGTON BLVD, BALTIMORE, MD 21230-2215
(443) 869-5303
Mailing address
1209 S ELLWOOD AVE, BALTIMORE, MD 21224-4914
(443) 869-5303
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
16270
MD
Other
Enumeration date
04/20/2011
Last updated
04/20/2011
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