| NPI | 1417595588 |
|---|---|
| Doing Business As | CITYWIDE BEHAVIORAL HEALTH - OMHC |
| Entity Type | Organization |
| Authorized Contact | PAMELA P JOHNSON Owner 410-274-8388 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2019-12-19 |
| Last Update Date | 2020-04-01 |