Organization
PBMJ ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PAMELA EVETTE BYRD LCPC,CAC-AD (CEO/LICENSED PROFESSIONAL COUNSELOR)
(443) 559-0450
Entity
Organization
Contact information
Practice address
1 E MOUNT ROYAL AVE, BALTIMORE, MD 21202-2614
(443) 559-0450
Mailing address
PO BOX 19817, BROOKLYN, MD 21225-0317
(443) 559-0450
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
LC3506
MD
251S00000X
Community/Behavioral Health Agency
LC3506
MD
252Y00000X
Early Intervention Provider Agency
LC3506
MD
302R00000X
Health Maintenance Organization
Primary
LC30506
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
419828000
—
MD
Enumeration date
07/08/2010
Last updated
10/28/2016
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