Organization
DAVIDS LOFT CENTER FOR SOMATIC AND BEHAVIORAL HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID H THOMPSON JR. LCPC (CEO)
(410) 800-4226
Entity
Organization
Contact information
Practice address
2641 MARYLAND AVE, BALTIMORE, MD 21218-4518
(410) 800-4226
Mailing address
2641 MARYLAND AVE, BALTIMORE, MD 21218-4518
(410) 800-4226
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/07/2020
Last updated
08/07/2020
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