| Marian House, Inc. | |
|
4105 Old York Rd Baltimore MD 21218-1237 | |
| (410) 467-4161 | |
| (410) 467-6709 |
| Full Name | Marian House, Inc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 4105 Old York Rd, Baltimore, Maryland |
| Authorized Official Name and Position | Katherine Dineen Allston (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4104674121 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marian House, Inc. 949 Gorsuch Ave Baltimore MD 21218-3602 Ph: (410) 467-4121 | Marian House, Inc. 4105 Old York Rd Baltimore MD 21218-1237 Ph: (410) 467-4161 |
| NPI Number | 1821775966 |
|---|---|
| Provider Enumeration Date | 06/30/2023 |
| Last Update Date | 09/12/2023 |
| Certification Date | 09/12/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821775966 | NPI | - | NPPES |
| 448103800 | Medicaid | MD |
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