Organization
MIND MATTERS RESOURCE GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LATASHA GENELL ROLES (DIRECTOR)
(443) 208-6156
Entity
Organization
Contact information
Practice address
204 W SARATOGA ST, BALTIMORE, MD 21201-3511
(443) 208-6156
Mailing address
4022 DUDLEY AVE, BALTIMORE, MD 21213-2139
(443) 208-6156
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/10/2016
Last updated
08/10/2016
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