Provider Demographics
NPI:1407432651
Name:MYRTLE J. SCOTT-FRANKLIN NETWORK, LLC.
Entity type:Organization
Organization Name:MYRTLE J. SCOTT-FRANKLIN NETWORK, LLC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MAXIE
Authorized Official - Middle Name:
Authorized Official - Last Name:FRANKLIN
Authorized Official - Suffix:III
Authorized Official - Credentials:LMSW
Authorized Official - Phone:410-488-9000
Mailing Address - Street 1:3416 BELAIR RD
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21213-1356
Mailing Address - Country:US
Mailing Address - Phone:410-488-9000
Mailing Address - Fax:443-449-7821
Practice Address - Street 1:3416 BELAIR RD
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21213-1356
Practice Address - Country:US
Practice Address - Phone:410-488-9000
Practice Address - Fax:443-449-7821
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-18
Last Update Date:2024-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)