| Johns Hopkins University | |
|
1029 E Baltimore St Baltimore MD 21202-4705 | |
| (410) 550-7680 | |
| Not Available |
| Full Name | Johns Hopkins University |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 1029 E Baltimore St, Baltimore, Maryland |
| Authorized Official Name and Position | Shavonda Keating (DIRECTOR OF PROVIDER ENROLLMENT) |
| Authorized Official Contact | 4109336430 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Johns Hopkins University 6201 Greenleigh Ave Baltimore MD 21220-2004 Ph: (410) 933-4853 | Johns Hopkins University 1029 E Baltimore St Baltimore MD 21202-4705 Ph: (410) 550-7680 |
| NPI Number | 1013273838 |
|---|---|
| Provider Enumeration Date | 04/05/2012 |
| Last Update Date | 11/17/2023 |
| Certification Date | 11/17/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013273838 | NPI | - | NPPES |
| 904396 | Other | MD | OHCQ CERT# |
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