BEHAVIORAL HEALTH NETWORK LLC


Address: 1101 W. Pratt Street, Baltimore, MD 21223
Phone: 4105769191

BEHAVIORAL HEALTH NETWORK LLC (NPI# 1639501448) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1639501448
Entity Type Organization
Organization Name BEHAVIORAL HEALTH NETWORK LLC
Practice Address 1101 W. Pratt Street
Baltimore
MD 21223
Mailing Address 201 N Charles St
Suite 200
Baltimore
MD 21201-4102
Practice Telephone 4105769191
Practice Fax Number 4105769257
Mailing Telephone 4105769191
Mailing Fax Number 4105769257
Enumeration Date 2013-08-02
Last Update Date 2013-08-02
Authorized Official Name DR. CLARK J HUDAK (OWNER)
Authorized Official Telephone 4105769191
Authorized Official Credential PH.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers

Office Location

Street Address 1101 W. PRATT STREET
City BALTIMORE
State MD
Zip Code 21223

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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

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Competitor

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City BALTIMORE
Zip Code 21223

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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