| Far Behavioral Health Services Llc | |
|
213- 217 East 25th Street Baltimore MD 21218 | |
| (443) 865-3633 | |
| Not Available |
| Full Name | Far Behavioral Health Services Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 213- 217 East 25th Street, Baltimore, Maryland |
| Authorized Official Name and Position | Robin Yvette Johnson (OWNER) |
| Authorized Official Contact | 4438653633 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Far Behavioral Health Services Llc 4 Deer Stream Ct Owings Mills MD 21117-1535 Ph: (443) 865-3633 | Far Behavioral Health Services Llc 213- 217 East 25th Street Baltimore MD 21218 Ph: (443) 865-3633 |
| NPI Number | 1952119760 |
|---|---|
| Provider Enumeration Date | 12/26/2024 |
| Last Update Date | 12/30/2024 |
| Certification Date | 12/30/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952119760 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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