Healthcare Provider Details

I. General information

NPI: 1023746146
Provider Name (Legal Business Name): ALL TOGETHER BEHAVIORAL HEALTH SOLUTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/09/2022
Last Update Date: 08/16/2022
Certification Date: 08/16/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 E CHASE ST STE 1117
BALTIMORE MD
21202-2564
US

IV. Provider business mailing address

PO BOX 67375
BALTIMORE MD
21215-0011
US

V. Phone/Fax

Practice location:
  • Phone: 443-204-2290
  • Fax:
Mailing address:
  • Phone: 443-204-2290
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code283Q00000X
TaxonomyPsychiatric Hospital
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: DEION CAISON
Title or Position: CEO
Credential:
Phone: 443-204-2290