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NPI 1205575396 · Mental Health Clinic/Center (Including Community Mental Health Center) · Baltimore, MD
Provider details
- NPI number
- 1205575396
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Anders North, Ceo(410) 707-4632
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1400 W. Lombard St Ste a #2071
Baltimore, MD 21223
Phone: (410) 707-4632
Street-level locationGet directions
Mailing address
1400 W. Lombard St Ste a #2071
Baltimore, MD 21223
Registry dates
- Enumerated
- 2022-05-27
- Last updated
- 2023-11-02
- Certified
- 2023-11-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.