| NPI | 1982237491 |
|---|---|
| Doing Business As | CITYWIDE 3.11 - RESIDENTIAL PROGRAM |
| Other Name | CITYWIDE BEHAVIORAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | PAMELA P JOHNSON Medical Director 410-274-8388 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2020-02-13 |
| Last Update Date | 2020-02-13 |