| Joeys Place Llc | |
|
6340 Security Blvd Ste A21 Gwynn Oak MD 21207-5173 | |
| (443) 208-6963 | |
| Not Available |
| Full Name | Joeys Place Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 6340 Security Blvd Ste A21, Gwynn Oak, Maryland |
| Authorized Official Name and Position | Richelle Ford (CEO/OWNER) |
| Authorized Official Contact | 4432086963 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Joeys Place Llc 6340 Security Blvd Ste A21 Gwynn Oak MD 21207-5173 Ph: (443) 208-6963 | Joeys Place Llc 6340 Security Blvd Ste A21 Gwynn Oak MD 21207-5173 Ph: (443) 208-6963 |
| NPI Number | 1841912078 |
|---|---|
| Provider Enumeration Date | 09/14/2022 |
| Last Update Date | 09/14/2022 |
| Certification Date | 09/14/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841912078 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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