| Goodness And Mercy Llc | |
|
1701 Madison Ave 2nd Fl Baltimore City MD 21217 | |
| (410) 402-3128 | |
| Not Available |
| Full Name | Goodness And Mercy Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1701 Madison Ave, Baltimore City, Maryland |
| Authorized Official Name and Position | Latica N Lamar (PROGRAM DIRECTOR) |
| Authorized Official Contact | 4437082976 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Goodness And Mercy Llc 1701 Madison Ave 2nd Fl Baltimore MD 21217-3731 Ph: (443) 708-2976 | Goodness And Mercy Llc 1701 Madison Ave 2nd Fl Baltimore City MD 21217 Ph: (410) 402-3128 |
| NPI Number | 1689451395 |
|---|---|
| Provider Enumeration Date | 09/14/2023 |
| Last Update Date | 11/14/2023 |
| Certification Date | 11/14/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689451395 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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