Provider Demographics
NPI:1932504610
Name:HARFORD COUNTY HEALTH DEPARTMENT
Entity Type:Organization
Organization Name:HARFORD COUNTY HEALTH DEPARTMENT
Other - Org Name:HCHD BEHAVIORAL HEALTH SERVICES MENTAL HEALTH / OMHC 1932504610
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DEPUTY HEALTH OFFICER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARCY
Authorized Official - Middle Name:RABBE
Authorized Official - Last Name:AUSTIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-877-1033
Mailing Address - Street 1:120 S. HAYS STREET
Mailing Address - Street 2:
Mailing Address - City:BEL AIR
Mailing Address - State:MD
Mailing Address - Zip Code:21014
Mailing Address - Country:US
Mailing Address - Phone:410-877-1033
Mailing Address - Fax:
Practice Address - Street 1:120 S HAYS ST
Practice Address - Street 2:
Practice Address - City:BEL AIR
Practice Address - State:MD
Practice Address - Zip Code:21014-3615
Practice Address - Country:US
Practice Address - Phone:410-877-1033
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HARFORD COUNTY HEALTH DEPARTMENT
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-10-24
Last Update Date:2020-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD422899500Medicaid