| A Day For Change, Llc | |
|
1326 Gittings Ave Baltimore MD 21239-1801 | |
| (443) 527-0373 | |
| Not Available |
| Full Name | A Day For Change, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1326 Gittings Ave, Baltimore, Maryland |
| Authorized Official Name and Position | Ikea Day (OWNER) |
| Authorized Official Contact | 4435270373 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| A Day For Change, Llc 1326 Gittings Ave Baltimore MD 21239-1801 Ph: (443) 527-0373 | A Day For Change, Llc 1326 Gittings Ave Baltimore MD 21239-1801 Ph: (443) 527-0373 |
| NPI Number | 1730966599 |
|---|---|
| Provider Enumeration Date | 09/13/2023 |
| Last Update Date | 09/06/2024 |
| Certification Date | 09/06/2024 |
| Medicare PECOS PAC ID | 4587198338 |
|---|---|
| Medicare Enrollment ID | O20241115001521 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730966599 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Ikea Day |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497532253 PECOS PAC ID: 5496289241 Enrollment ID: I20241115001749 |
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