Organization
CITYWIDE BEHAVIORAL HEALTH
Active
Organization
CITYWIDE BEHAVIORAL HEALTH
Active
Parent organization
CITYWIDE BEHAVIORAL HEALTH
Other names
CITYWIDE BEHAVIORAL HEALTH, Citywide 3.11 - Residential Program
Organization subpart
Yes
Provider details
NPI number
Legal business name
CITYWIDE BEHAVIORAL HEALTH
Authorized official
PAMELA P JOHNSON CRNP (MEDICAL DIRECTOR)
(410) 274-8388
Entity
Organization
Contact information
Practice address
17 WARREN RD STE 20B, BALTIMORE, MD 21208-5334
(410) 274-8388
(410) 484-8107
Mailing address
17 WARREN RD STE 20B, BALTIMORE, MD 21208-5334
(410) 274-8388
(410) 484-8107
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
02/13/2020
Last updated
02/13/2020
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