Provider Demographics
NPI:1730113598
Name:HARFORD-BELAIR COMMUNITY MENTAL HEALTH CENTER, INC.
Entity Type:Organization
Organization Name:HARFORD-BELAIR COMMUNITY MENTAL HEALTH CENTER, INC.
Other - Org Name:HARFORD BELAIR CMHC INC MT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:E
Authorized Official - Last Name:ALESSI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:410-426-5650
Mailing Address - Street 1:4308 HARFORD RD
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21214-3116
Mailing Address - Country:US
Mailing Address - Phone:410-426-5650
Mailing Address - Fax:410-426-5143
Practice Address - Street 1:4308 HARFORD RD
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21214-3116
Practice Address - Country:US
Practice Address - Phone:410-426-5650
Practice Address - Fax:410-426-5143
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD12652261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)