Organization
CITYWIDE BEHAVIORAL HEALTH
Active
Organization
CITYWIDE BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA PENINA JOHNSON CRNP (CEO)
(410) 484-0036
Entity
Organization
Contact information
Practice address
3413 POWHATAN AVE, BALTIMORE, MD 21216-1379
(410) 484-0036
Mailing address
17 WARREN RD STE 20B, PIKESVILLE, MD 21208-5334
(410) 484-0036
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/29/2024
Last updated
08/29/2024
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up