OrganizationActive
Comptroller of Maryland Central Payroll Bureau
NPI 1760468623 · Psychiatric Hospital · Baltimore, MD
Provider details
- NPI number
- 1760468623
- Entity type
- Organization
- Primary specialty
- Psychiatric HospitalHospitals
- Authorized official
- Archie Wallace, Chief Executive Officer
- License
- 30072 (MD)
Practice location
630 W Fayette St
Baltimore, MD 21201
Phone: (410) 209-6204
Fax: (410) 209-6374
Mailing address
630 W Fayette St
Baltimore, MD 21201
Registry dates
- Enumerated
- 2005-12-21
- Last updated
- 2008-04-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.