Provider Demographics
NPI:1285327577
Name:UNITY CENTER FOR BEHAVIORAL HEALTH
Entity type:Organization
Organization Name:UNITY CENTER FOR BEHAVIORAL HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHALAIYAH
Authorized Official - Middle Name:
Authorized Official - Last Name:CORDOBA
Authorized Official - Suffix:
Authorized Official - Credentials:LGMFT
Authorized Official - Phone:443-561-6139
Mailing Address - Street 1:57 W TIMONIUM RD STE 219
Mailing Address - Street 2:
Mailing Address - City:TIMONIUM
Mailing Address - State:MD
Mailing Address - Zip Code:21093-3105
Mailing Address - Country:US
Mailing Address - Phone:410-409-2056
Mailing Address - Fax:
Practice Address - Street 1:57 W TIMONIUM RD STE 219
Practice Address - Street 2:
Practice Address - City:TIMONIUM
Practice Address - State:MD
Practice Address - Zip Code:21093-3105
Practice Address - Country:US
Practice Address - Phone:410-409-2056
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-01
Last Update Date:2023-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health