Organization · Type 2 NPI
My Covenant Place Behavioral Health
Community Health Clinic/Center · Baltimore, MD
NPI number
1780394031
Active
Practice location
5109 York Road, Suite C- 2nd Floor
Baltimore, MD 21212-2121
Mailing address
5109 York Rd, Suite C, 2nd Floor
Baltimore, MD 21212-4399
Other practice locations
- 5109 York Rd Ste 2, Baltimore, MD 21212-4399 · (443) 759-3355
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community Health Clinic/Center Primary | 261QC1500X | None listed |
Community Health Clinic/Center: Definition to come...
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About NPI 1780394031
My Covenant Place Behavioral Health's National Provider Identifier is 1780394031, issued on Nov 28, 2022. The primary taxonomy on file is Community Health Clinic/Center (261QC1500X), and the practice location is in Baltimore, MD. The record was last updated on Dec 16, 2022.