One Promise Halfway House | |
3213 Hamilton Ave Baltimore MD 21214-2641 | |
(443) 835-2681 | |
Not Available |
Full Name | One Promise Halfway House |
---|---|
Speciality | Community/behavioral Health |
Location | 3213 Hamilton Ave, Baltimore, Maryland |
Authorized Official Name and Position | Craig Howard Lippens (PROGRAM ADMINISTRATOR) |
Authorized Official Contact | 4103820528 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
One Promise Halfway House 6207 Belair Rd Baltimore MD 21206-1942 Ph: (443) 835-2681 | One Promise Halfway House 3213 Hamilton Ave Baltimore MD 21214-2641 Ph: (443) 835-2681 |
NPI Number | 1053045054 |
---|---|
Provider Enumeration Date | 07/14/2022 |
Last Update Date | 09/01/2022 |
Certification Date | 09/01/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053045054 | NPI | - | NPPES |
641027800 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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