Organization
MT. WASHINGTON PEDIATRIC COMMUNITY BEHAVIORAL HEALTH SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY MILLER (CEO)
(410) 578-5163
Entity
Organization
Contact information
Practice address
1708 W ROGERS AVE, BALTIMORE, MD 21209-4545
(410) 578-5037
(410) 367-4197
Mailing address
1708 W ROGERS AVE, BALTIMORE, MD 21209-4545
(410) 578-5334
(410) 578-7027
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
03/24/2022
Last updated
03/24/2022
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