Citywide Behavioral Health

NPI #1720812050 in Gwynn Oak, Maryland

Provider Information

NPI Number: 1720812050
Entity Type: Organization
Organization Name: Citywide Behavioral Health
Primary Specialty: Community Based Residential Treatment Facility, Mental Illness
Enumeration Date: Aug 29, 2024
Last Updated: Aug 29, 2024

Practice Location

Address: 5115 GWYNN OAK AVE
City: Gwynn Oak
State: Maryland
ZIP Code: 21207-6806
Phone: (410) 484-0036

Authorized Official

Name: PAMELA PENINA JOHNSON, CRNP
Title: CEO
Phone: (410) 484-0036

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Rehabilitation, Substance Use Disorder — Rehabilitation, Substance Use Disorder	261QR0405X
Community Based Residential Treatment Facility, Mental Illness	320800000X	Primary

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