National Provider Identifier Database

UNIVERSITY PSYCHOLOGICAL CENTER INC
Substance Abuse Disorder Rehabilitation Facility

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.


Contact Information

UNIVERSITY PSYCHOLOGICAL CENTER, INC
1208-10 JAMES STREET
BALTIMORE, MD21223
Phone: 410-576-9191
Fax: 410-576-9257
Website:
Specialty Taxonomy Code
* Substance Abuse Disorder Rehabilitation Facility 324500000X

* Indicates primary specialty

NPI Profile & details for UNIVERSITY PSYCHOLOGICAL CENTER, INC

NPI Number 1245766468
Legal business name
LBN
UNIVERSITY PSYCHOLOGICAL CENTER, INC
Authorized official CLARK HUDAK - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 05/08/2017
Last updated 05/08/2017 - About 9 years ago
Sole proprietor1 Not specified
Identifiers
  • MD License #: 906273

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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