UNIVERSITY PSYCHOLOGICAL CENTER, INC; NPI #1245766468

Contact Information

UNIVERSITY PSYCHOLOGICAL CENTER, INC

1208-10 JAMES STREET
BALTIMORE, MD 21223

Phone: 410-576-9191
Fax: 410-576-9257
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Substance Abuse Disorder Rehabilitation Facility	324500000X

Indicates primary specialty

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NPI Profile & details for UNIVERSITY PSYCHOLOGICAL CENTER, INC

NPI Number 1245766468

LBN Legal business name UNIVERSITY PSYCHOLOGICAL CENTER, INC

Authorized official CLARK HUDAK - (EXECUTIVE DIRECTOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 05/08/2017

Last updated 05/08/2017 - About 9 years ago

Identifiers

License #

906273

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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