Organization
COLLECTIVE MINDS BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. IRA OWENS (OWNER)
(410) 804-9400
Entity
Organization
Contact information
Practice address
5602 BALTIMORE NATIONAL PIKE STE 304, BALTIMORE, MD 21228-1410
(410) 804-9400
Mailing address
5602 BALTIMORE NATIONAL PIKE STE 304, BALTIMORE, MD 21228-1410
(410) 804-9400
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
2080P0006X
Developmental - Behavioral Pediatrics Physician
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/15/2022
Last updated
05/04/2022
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