| Eastern Avenue Health Solutions, Inc | |
|
5920 Eastern Avenue Suite C Baltimore MD 21224 | |
| (410) 631-2772 | |
| (866) 846-7468 |
| Full Name | Eastern Avenue Health Solutions, Inc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 5920 Eastern Avenue, Baltimore, Maryland |
| Authorized Official Name and Position | Jeanine Marie Gini (ADMINISTRATOR) |
| Authorized Official Contact | 4436003054 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eastern Avenue Health Solutions, Inc 600 Reisterstown Rd Suite 600c Pikesville MD 21208 Ph: () - | Eastern Avenue Health Solutions, Inc 5920 Eastern Avenue Suite C Baltimore MD 21224 Ph: (410) 631-2772 |
| NPI Number | 1780139998 |
|---|---|
| Provider Enumeration Date | 08/17/2016 |
| Last Update Date | 08/17/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780139998 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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