Provider First Line Business Practice Location Address:
DIVISION OF CHILD AND ADOLESCENT PSYCHIATRY
Provider Second Line Business Practice Location Address:
600 N. WOLFE STREET/ CMSC 376
Provider Business Practice Location Address City Name:
BALTIMORE
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21287-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-955-3140
Provider Business Practice Location Address Fax Number:
410-955-8691
Provider Enumeration Date:
09/08/2009