Organization · Type 2 NPI

Providence Community PRP Inc

Mental Health Clinic/Center (Including Community Mental Health Center) · Baltimore, MD

NPI number 1881114775 Active

Practice location

416 E 30th St
Baltimore, MD 21218-3934

Fax (410) 889-0729

Specialties and licenses

TaxonomyCodeLicense
Mental Health Clinic/Center (Including Community Mental Health Center) Primary 261QM0801XNone listed

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

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About NPI 1881114775

Providence Community PRP Inc's National Provider Identifier is 1881114775, issued on Jun 22, 2017. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Baltimore, MD. The record was last updated on Jul 21, 2022.