| Jhu - Psychiatry/behavioral Health | |
|
4940 Eastern Ave Baltimore MD 21224-2735 | |
| (410) 550-0500 | |
| Not Available |
| Full Name | Jhu - Psychiatry/behavioral Health |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 4940 Eastern Ave, Baltimore, Maryland |
| Authorized Official Name and Position | Shavonda L Keating (SR PRODUCTION UNIT MGR) |
| Authorized Official Contact | 4109336430 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jhu - Psychiatry/behavioral Health Po Box 64260 Baltimore MD 21264-4260 Ph: () - | Jhu - Psychiatry/behavioral Health 4940 Eastern Ave Baltimore MD 21224-2735 Ph: (410) 550-0500 |
| NPI Number | 1982162418 |
|---|---|
| Provider Enumeration Date | 03/04/2019 |
| Last Update Date | 03/08/2021 |
| Certification Date | 03/08/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982162418 | NPI | - | NPPES |
| 669071800 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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