Organization
CITYWIDE BEHAVIORAL HEALTH
Active
Other names
Citywide Health Corporation
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA JOHNSON CRNP (OWNER)
(410) 274-8688
Entity
Organization
Contact information
Practice address
17 WARREN RD STE 20B, BALTIMORE, MD 21208-5334
(410) 929-2314
(410) 484-8107
Mailing address
17 WARREN RD STE 20B, BALTIMORE, MD 21208-5334
(410) 929-2314
(410) 484-8107
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
364SP0807X
Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
—
—
Other
Enumeration date
12/28/2017
Last updated
12/28/2017
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