Provider Demographics
NPI:1285009654
Name:CHILD AND ADULT PSYCHIATRY CHARITO QUINTERO-HOWARD, MD, LLC
Entity Type:Organization
Organization Name:CHILD AND ADULT PSYCHIATRY CHARITO QUINTERO-HOWARD, MD, LLC
Other - Org Name:CHILD AND ADULT PSYCHIATRY
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHARITO
Authorized Official - Middle Name:VALDERRAMA
Authorized Official - Last Name:QUINTERO-HOWARD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:410-337-0007
Mailing Address - Street 1:205 E JOPPA RD
Mailing Address - Street 2:SUIT 106
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21286-3260
Mailing Address - Country:US
Mailing Address - Phone:410-337-0007
Mailing Address - Fax:410-337-0071
Practice Address - Street 1:205 E JOPPA RD
Practice Address - Street 2:SUIT 106
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21286-3260
Practice Address - Country:US
Practice Address - Phone:410-337-0007
Practice Address - Fax:410-337-0071
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-09
Last Update Date:2020-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health