Healthcare Provider Details

I. General information

NPI: 1447167069
Provider Name (Legal Business Name): OFFICE ON MENTAL HEALTH/CORE SERVICE AGENCY OF HARFORD COUNTY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/27/2026
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2231 CONOWINGO RD STE A
BEL AIR MD
21015-1467
US

IV. Provider business mailing address

2231 CONOWINGO RD STE A
BEL AIR MD
21015-1467
US

V. Phone/Fax

Practice location:
  • Phone: 443-619-2533
  • Fax:
Mailing address:
  • Phone: 443-619-2533
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: JESSICA KRAUS
Title or Position: EXECUTIVE DIRECTOR
Credential: MS
Phone: 443-619-2533