Provider Demographics
NPI:1164015426
Name:SARAHS HOUSE MENTAL HEALTH SERVICES, LLC
Entity Type:Organization
Organization Name:SARAHS HOUSE MENTAL HEALTH SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR, CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JAN
Authorized Official - Middle Name:
Authorized Official - Last Name:PINKNEY
Authorized Official - Suffix:
Authorized Official - Credentials:AO
Authorized Official - Phone:410-977-0211
Mailing Address - Street 1:2901 DRUID PARK DR STE A208
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21215-8136
Mailing Address - Country:US
Mailing Address - Phone:410-225-3101
Mailing Address - Fax:
Practice Address - Street 1:4200 EDMONDSON AVE STE 201
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21229-1614
Practice Address - Country:US
Practice Address - Phone:410-225-3101
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-18
Last Update Date:2021-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health