NPI 1033723556

Citywide Behavioral Health

Organisation Psychiatric Residential Treatment Facility Baltimore, MD

Practice location

Address: 1516 W Fairmount Ave, Baltimore, MD 21223-1780
Phone: (410) 929-2314
Fax: (410) 484-8107
Mailing address: 17 Warren Rd, Pikesville, MD 21208-5334

Authorised official

Name: Pamela Johnson
Title: Owner Ceo
Phone: (410) 274-8388

Registered specialties

Psychiatric Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 323P00000X

Other Psychiatric Residential Treatment Facility providers in Maryland →

Registry record

NPI: 1033723556
Entity type: Organization
NPI issued: 2 Sep 2020
Record last updated: 11 Nov 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.