Organization
EMPOWERING MINDS RESOURCE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFINIE CARROLL (EXECUTIVE DIRECTOR)
(410) 625-5088
Entity
Organization
Contact information
Practice address
105 E 25TH ST, BALTIMORE, MD 21218-5213
(410) 467-5550
Mailing address
500 REDLAND CT, STE 213, OWINGS MILLS, MD 21117-3264
(410) 363-3713
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
404629600
—
MD
Enumeration date
04/05/2016
Last updated
11/03/2019
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