NPI | 1427555705 |
---|---|
Doing Business As | VILLA MARIA BEHAVIORAL HEALTH OF FALLSTAFF - ADULT PRP |
Doing Business As | VILLA MARIA BEHAVIORAL HEALTH OF BALTIMORE CITY - FALLSTAFF PRP |
Entity Type | Organization |
Authorized Contact | GLORIA REEVES A/R And Billing Manager 667-600-2249 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
Enumeration Date | 2018-04-12 |
Last Update Date | 2020-01-03 |