OrganizationActive
Citywide Behavioral Health
NPI 1720812050 · Mental Illness Community Based Residential Treatment Facility · Gwynn Oak, MD
Provider details
- NPI number
- 1720812050
- Entity type
- Organization
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Pamela Johnson, Ceo(410) 484-0036
Specialties & taxonomies
Residential Treatment Facilities
Ambulatory Health Care Facilities
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
5115 Gwynn Oak Ave
Gwynn Oak, MD 21207-6806
Phone: (410) 484-0036
Street-level locationGet directions
Mailing address
17 Warren Rd Ste 20b
Pikesville, MD 21208-5334
Registry dates
- Enumerated
- 2024-08-29
- Last updated
- 2024-08-29
- Certified
- 2024-08-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.