| Creative Alternatives | |
|
1821 Portal Street Suite B Baltimore MD 21224 | |
| (410) 550-0070 | |
| (410) 550-1061 |
| Full Name | Creative Alternatives |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 1821 Portal Street, Baltimore, Maryland |
| Authorized Official Name and Position | Ronald J Werthman (VP, FINANCE, TREASURER, CFO, JHHS) |
| Authorized Official Contact | 4109556552 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Creative Alternatives Po Box 632053 Baltimore MD 21263-2053 Ph: (443) 997-0001 | Creative Alternatives 1821 Portal Street Suite B Baltimore MD 21224 Ph: (410) 550-0070 |
| NPI Number | 1831252543 |
|---|---|
| Provider Enumeration Date | 12/18/2006 |
| Last Update Date | 12/13/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831252543 | NPI | - | NPPES |
| 135060900 | Other | MA CONTRACTOR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 14028 (Maryland) | Primary |
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