Organization
MT. WASHINGTON PEDIATRIC COMMUNITY HEALTH SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY MILLER (CHIEF FINANCIAL OFFICER)
(410) 578-5163
Entity
Organization
Contact information
Practice address
1708 W ROGERS AVE, BALTIMORE, MD 21209-4545
(410) 578-8600
Mailing address
1708 W ROGERS AVE, BALTIMORE, MD 21209-4545
(410) 578-8600
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
04/05/2016
Last updated
04/05/2016
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