| Maryland Recovery Homes Llc | |
|
3812 Chesley Ave Baltimore MD 21206-1509 | |
| (410) 215-2619 | |
| Not Available |
| Full Name | Maryland Recovery Homes Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3812 Chesley Ave, Baltimore, Maryland |
| Authorized Official Name and Position | Katherine Janesta Kelley (PROGRAM DIRECTOR) |
| Authorized Official Contact | 4102152619 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maryland Recovery Homes Llc 3812 Chesley Ave Baltimore MD 21206-1509 Ph: (410) 215-2619 | Maryland Recovery Homes Llc 3812 Chesley Ave Baltimore MD 21206-1509 Ph: (410) 215-2619 |
| NPI Number | 1780495002 |
|---|---|
| Provider Enumeration Date | 01/16/2025 |
| Last Update Date | 01/16/2025 |
| Certification Date | 01/16/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780495002 | NPI | - | NPPES |
| 1000142723 | Medicaid | MD | |
| 1000051637 | Medicaid | MD | |
| 1000051629 | Medicaid | MD | |
| 1000054548 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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