Provider Demographics
NPI:1215462239
Name:THE TAWA COMMUNITY NETWORK
Entity type:Organization
Organization Name:THE TAWA COMMUNITY NETWORK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ALETTA
Authorized Official - Middle Name:
Authorized Official - Last Name:MUZILA-PESI
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:443-416-5474
Mailing Address - Street 1:1800 N CHARLES ST
Mailing Address - Street 2:SUITE 904
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21201-5920
Mailing Address - Country:US
Mailing Address - Phone:443-388-9654
Mailing Address - Fax:443-388-9367
Practice Address - Street 1:1800 N CHARLES ST
Practice Address - Street 2:SUITE 904
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21201-5920
Practice Address - Country:US
Practice Address - Phone:443-388-9654
Practice Address - Fax:443-388-9367
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THE ROBERT SYLVIA GROUP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-04-27
Last Update Date:2017-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health