| Jewish Community Services | |
|
5750 Park Heights Ave Baltimore MD 21215-3930 | |
| (410) 843-7434 | |
| (410) 664-0115 |
| Full Name | Jewish Community Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 5750 Park Heights Ave, Baltimore, Maryland |
| Authorized Official Name and Position | Andrea F Fenwick (MANAGER, SUPPORTED EMPLOYMENT) |
| Authorized Official Contact | 4108437434 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jewish Community Services 5750 Park Heights Ave Baltimore MD 21215-3930 Ph: (410) 843-7434 | Jewish Community Services 5750 Park Heights Ave Baltimore MD 21215-3930 Ph: (410) 843-7434 |
| NPI Number | 1871042101 |
|---|---|
| Provider Enumeration Date | 09/28/2016 |
| Last Update Date | 09/28/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871042101 | NPI | - | NPPES |
| MH-67 | Other | MD | DEPARTMENT OF HEALTH AND MENTAL HYGIENE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | MH-67 (Maryland) | Primary |
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