CITYWIDE BEHAVIORAL HEALTH NPI 1881100857

NPI Information

NPI: 1881100857
Provider Name: CITYWIDE BEHAVIORAL HEALTH

Other Name: CITYWIDE HEALTH CORPORATION

Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
17 WARREN RD STE 20B
BALTIMORE, MD
ZIP 21208
Phone: (410) 929-2314
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CITYWIDE BEHAVIORAL HEALTH is a psychiatric/mental health nurse practitioner in Baltimore, MD. CITYWIDE BEHAVIORAL HEALTH NPI is 1881100857. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Citywide Health Corporation.

The provider's business location address is:

17 WARREN RD STE 20B
BALTIMORE, MD
ZIP 21208-334
Phone: (410) 929-2314
Fax: (410) 484-8107

The provider's authorized official is Pamela Johnson .
The authorized official title is Owner and has the following contact phone number (410) 274-8688.

The enumeration date for this NPI number is 12/28/2017 and was last updated on 12/28/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	364SP0807X	Clinical Nurse Specialist	Psychiatric/Mental Health, Child & Adolescent			No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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