Organization
ACTION MOBILE THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER HORNE (OWNER)
(410) 375-2308
Entity
Organization
Contact information
Practice address
33A BRETT MANOR CT, HUNT VALLEY, MD 21030-1228
(410) 375-2308
Mailing address
PO BOX 52, HUNT VALLEY, MD 21030-0052
(410) 375-2308
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
118149100
—
MD
Enumeration date
07/25/2017
Last updated
01/08/2018
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