Organization
MARYLAND CHILDREN'S INSTITUTE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. IMAMU A BARAKA MHS, LCPC, NCC, DCC (PRESIDENT/CHIEF, CLINICAL OFFICER)
(410) 622-2908
Entity
Organization
Contact information
Practice address
859 1/2 N HOWARD ST FL 1, BALTIMORE, MD 21201-4696
(410) 622-2908
Mailing address
859 1/2 N HOWARD ST FL 1, BALTIMORE, MD 21201-4696
(410) 622-2908
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
10/24/2017
Last updated
10/24/2017
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