Provider Demographics
NPI:1174162655
Name:BETTER PATH MENTAL HEALTH CENTER LLC
Entity type:Organization
Organization Name:BETTER PATH MENTAL HEALTH CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:H
Authorized Official - Last Name:MITCHELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-788-3800
Mailing Address - Street 1:616 OLD EDMONDSON AVE STE 3
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21228-3312
Mailing Address - Country:US
Mailing Address - Phone:410-788-3800
Mailing Address - Fax:
Practice Address - Street 1:616 OLD EDMONDSON AVE STE 3
Practice Address - Street 2:
Practice Address - City:CATONSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21228-3312
Practice Address - Country:US
Practice Address - Phone:410-788-3800
Practice Address - Fax:443-498-9649
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-31
Last Update Date:2021-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder