Organization
GREATER BALTIMORE BEHAVIORAL HEALTH SERVICES LLC
Active
Other names
Greater Baltimore Behavioral Health Services LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. OLANREWAJU W ETTI (CEO)
(410) 889-3000
Entity
Organization
Contact information
Practice address
402 E 25TH ST, BALTIMORE, MD 21218-5304
(410) 889-3000
Mailing address
402 E 25TH ST, BALTIMORE, MD 21218-5304
(410) 889-3000
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4108893000
—
MD
Enumeration date
04/20/2022
Last updated
04/20/2022
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