| Michele's Haven, Cdc, Inc. | |
|
1270 Beaumont Ave Baltimore MD 21239-3418 | |
| (443) 858-1002 | |
| Not Available |
| Full Name | Michele's Haven, Cdc, Inc. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1270 Beaumont Ave, Baltimore, Maryland |
| Authorized Official Name and Position | Michele Gilmer (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 4438581002 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michele's Haven, Cdc, Inc. 1270 Beaumont Ave Baltimore MD 21239-3418 Ph: (443) 858-1002 | Michele's Haven, Cdc, Inc. 1270 Beaumont Ave Baltimore MD 21239-3418 Ph: (443) 858-1002 |
| NPI Number | 1336599257 |
|---|---|
| Provider Enumeration Date | 06/21/2016 |
| Last Update Date | 06/21/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336599257 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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