Organization
DAVIDS LOFT CENTER FOR SOMATIC AND BEHAVIORAL HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID H THOMPSON JR. LCPC (CEO)
(410) 800-4285
Entity
Organization
Contact information
Practice address
2641 MARYLAND AVE, BALTIMORE, MD 21218-4518
(410) 800-4226
Mailing address
2641 MARYLAND AVE, BALTIMORE, MD 21218-4518
(410) 800-4226
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
06/04/2021
Last updated
06/04/2021
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