Organization
RIDGE 103 LLC
Active
Other names
Ridge 103 OMHC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ORLANDO ROSS DAVIS M.D. (MEDICAL DIRECTOR)
(410) 373-0070
Entity
Organization
Contact information
Practice address
1235 E MONUMENT ST, BALTIMORE, MD 21202-5327
(410) 373-0070
(410) 327-0542
Mailing address
1235 EAST MONUMENT STREET, BALTIMORE, MD 21202
(410) 373-0070
(410) 327-0542
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
MD
Other
Enumeration date
05/18/2007
Last updated
08/22/2020
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