Provider Demographics
NPI:1922718972
Name:TAILORED SOLUTIONS LLC
Entity Type:Organization
Organization Name:TAILORED SOLUTIONS LLC
Other - Org Name:TAILORED SOLUTIONS OMHC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMAAL
Authorized Official - Middle Name:
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:410-878-0690
Mailing Address - Street 1:6610 TRIBUTARY ST STE 300
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21224-6514
Mailing Address - Country:US
Mailing Address - Phone:410-878-0690
Mailing Address - Fax:443-438-3683
Practice Address - Street 1:6610 TRIBUTARY ST STE 300
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21224-6514
Practice Address - Country:US
Practice Address - Phone:410-878-0690
Practice Address - Fax:443-438-3683
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-30
Last Update Date:2023-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)