Organization
PATRICIA'S PLACE INC
Active
Other names
Patricia's Place Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TIFFANI A WILSON (CEO)
(301) 979-7501
Entity
Organization
Contact information
Practice address
3234 BELAIR RD, BALTIMORE, MD 21213-1228
(301) 979-7501
(301) 979-7638
Mailing address
5006 ASHMANS HOPE, GWYNN OAK, MD 21207-6500
(301) 979-7501
(301) 979-7638
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
11/14/2024
Last updated
11/14/2024
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