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HARWOOD BEHAVIORAL HEALTH PARTNERS LLC NPI 1760873632


NPI Information

NPI: 1760873632
Provider Name: HARWOOD BEHAVIORAL HEALTH PARTNERS, LLC

Other Name: CCG BALTIMORE

Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization

CLIA Number: 21D2165707

Address:
428 E 25TH ST
BALTIMORE, MD
ZIP 21218
Phone: (410) 617-0142
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HARWOOD BEHAVIORAL HEALTH PARTNERS, LLC is a community behavioral health in Baltimore, MD. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. HARWOOD BEHAVIORAL HEALTH PARTNERS, LLC NPI is 1760873632. The provider is registered as an organization entity type.
The provider Other Name Is Ccg Baltimore.

The provider's business location address is:

428 E 25TH ST
BALTIMORE, MD
ZIP 21218-304
Phone: (410) 617-0142
Fax: (443) 873-6975

The provider's authorized official is Barbara A Wahl .
The authorized official title is Business Operations Director and has the following contact phone number (667) 239-3205.

The CLIA number assigned to this NPI record is 21D2165707 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/12/2015 and was last updated on 9/25/2015.


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
1251S00000XCommunity/Behavioral Health251B00000XMARYLANDYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1534204000MEDICAIDMARYLAND

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: 5/5/2024

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