Organization
MARIAN HOUSE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE DINEEN ALLSTON LCSW-C (EXDECUTIVE DIRECTOR)
(410) 467-4121
Entity
Organization
Contact information
Practice address
4101 OLD YORK RD, BALTIMORE, MD 21218-1237
(410) 467-4121
(410) 467-6709
Mailing address
949 GORSUCH AVE, BALTIMORE, MD 21218-3602
(410) 467-4121
(410) 467-6709
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
06/30/2023
Last updated
09/12/2023
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