Organization
HARWOOD BEHAVIORAL HEALTH PARTNERS, LLC
Active
Parent organization
CCG MANAGEMENT
Other names
CCG Baltimore
Organization subpart
Yes
Provider details
NPI number
Legal business name
CCG MANAGEMENT
Authorized official
MS. BARBARA A WAHL RN, MA (BUSINESS OPERATIONS DIRECTOR)
(667) 239-3205
Entity
Organization
Contact information
Practice address
428 E 25TH ST, BALTIMORE, MD 21218-5304
(410) 617-0142
(443) 873-6975
Mailing address
428 E 25TH ST, BALTIMORE, MD 21218-5304
(410) 617-0142
(443) 873-6975
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
251B00000X
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
534204000
—
MD
Enumeration date
02/12/2015
Last updated
09/25/2015
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