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Organization

TIME ORGANIZATION, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. LAUREN HERRON LCSW-C (EXECUTIVE DIRECTOR)
(410) 227-9426
Entity
Organization

Contact information

Practice address
4538 EDMONDSON AVE, BALTIMORE, MD 21229-1506
(443) 872-2230
(443) 872-2227
Mailing address
300 E LOMBARD ST STE 1700, BALTIMORE, MD 21202-3243
(443) 872-2230
(443) 872-2227

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MH-1146.
MD
261QM0855X
Adolescent and Children Mental Health Clinic/Center
261QR0400X
Rehabilitation Clinic/Center

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
406192600
MD
05
408791700
MD
Enumeration date
06/11/2008
Last updated
03/27/2023
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