Provider Demographics
NPI:1538865100
Name:QUALITY MENTAL HEALTH SERVICES LLC
Entity type:Organization
Organization Name:QUALITY MENTAL HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:BRYANT
Authorized Official - Suffix:II
Authorized Official - Credentials:
Authorized Official - Phone:443-721-3179
Mailing Address - Street 1:1701 EUTAW PL APT 526
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21217-4026
Mailing Address - Country:US
Mailing Address - Phone:410-383-1307
Mailing Address - Fax:
Practice Address - Street 1:1235 DRUID HILL AVE # 2
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21217-3248
Practice Address - Country:US
Practice Address - Phone:443-721-3179
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-06
Last Update Date:2023-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)