Provider Demographics
NPI:1841818077
Name:HELPING OUR YOUTH ACHIEVE PSYCHIATRIC REHABILITATION PROGRAM
Entity type:Organization
Organization Name:HELPING OUR YOUTH ACHIEVE PSYCHIATRIC REHABILITATION PROGRAM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:GRANT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-435-4771
Mailing Address - Street 1:5525 BELAIR RD STE B
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21206-3654
Mailing Address - Country:US
Mailing Address - Phone:410-325-4690
Mailing Address - Fax:
Practice Address - Street 1:5525 BELAIR RD STE B
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21206-3654
Practice Address - Country:US
Practice Address - Phone:410-325-4690
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-14
Last Update Date:2020-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health