Healthcare Provider Details

I. General information

NPI: 1689180119
Provider Name (Legal Business Name): HARWOOD BEHAVIORAL HEALTH II LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/20/2017
Last Update Date: 06/13/2025
Certification Date: 06/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

92 THOMAS JOHNSON DR STE 100
FREDERICK MD
21702-4591
US

IV. Provider business mailing address

428 E 25TH ST
BALTIMORE MD
21218-5304
US

V. Phone/Fax

Practice location:
  • Phone: 240-815-7300
  • Fax: 301-500-2223
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: ERIC SHAPIRO
Title or Position: CFO
Credential:
Phone: 667-239-3293