Bayside Behavioral Health Clinic of Annapolis

NPI #1700137643 in Annapolis, Maryland

Provider Information

NPI Number: 1700137643
Entity Type: Organization
Organization Name: Bayside Behavioral Health Clinic of Annapolis
Primary Specialty: Social Worker - Clinical
Enumeration Date: Oct 1, 2012
Last Updated: Oct 1, 2012

Practice Location

Address: 134 HOLIDAY CT
Address 2: SUITE 302
City: Annapolis
State: Maryland
ZIP Code: 21401-7008
Phone: (410) 266-1600

Authorized Official

Name: MELANIE OGUNMEFUN
Title: MEDICAL DIRECTOR
Phone: (410) 266-1600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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