Organization
BALTIMORE BEHAVIORAL HEALTH, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM HATHAWAY (CEO)
(410) 962-7180
Entity
Organization
Contact information
Practice address
1101 WEST PRATT STREET, BALTIMORE, MD 21223
(410) 962-7180
(410) 962-7194
Mailing address
1101 WEST PRATT STREET, BALTIMORE, MD 21223
(410) 962-7180
(410) 962-7194
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
188105100
—
MD
Enumeration date
09/24/2008
Last updated
09/24/2008
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