Organization · Type 2 NPI

Citywide Behavioral Health

Mental Illness Community Based Residential Treatment Facility · Baltimore, MD

NPI number 1982237491 Active

Practice location

17 Warren Rd Ste 20B
Baltimore, MD 21208-5334

Fax (410) 484-8107

Specialties and licenses

Taxonomy	Code	License
Mental Illness Community Based Residential Treatment Facility Primary	320800000X	None listed

Mental Illness Community Based Residential Treatment Facility: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

5 other providers at this address

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NPI record

NPI: 1982237491
Entity type: Organization (Type 2)
Issued: Feb 13, 2020
Last updated: Feb 13, 2020
Status: Active
Subpart: Yes of Citywide Behavioral Health

Other names

Citywide 3.11 - Residential Program · doing business as
Citywide Behavioral Health · other name

Authorized official

Pamela P Johnson, CRNP
Medical Director
(410) 274-8388

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About NPI 1982237491

Citywide Behavioral Health's National Provider Identifier is 1982237491, issued on Feb 13, 2020. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Baltimore, MD. The record was last updated on Feb 13, 2020.