Organization
EMPOWERING MINDS RESOURCE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFINIE CARROLL (EXECUTIVE DIRECTOR)
(410) 363-3713
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 21117-3266
(443) 925-4897
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
404637100
—
MD
Enumeration date
03/15/2018
Last updated
03/15/2018
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