| Providing Empowerment Advocacy & Social Skills | |
|
2361 Flax Ter Baltimore MD 21209-4625 | |
| (410) 330-2590 | |
| Not Available |
| Full Name | Providing Empowerment Advocacy & Social Skills |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2361 Flax Ter, Baltimore, Maryland |
| Authorized Official Name and Position | Damian Jones (OWNER) |
| Authorized Official Contact | 4103302590 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Providing Empowerment Advocacy & Social Skills 2361 Flax Ter Baltimore MD 21209-4625 Ph: (410) 330-2590 | Providing Empowerment Advocacy & Social Skills 2361 Flax Ter Baltimore MD 21209-4625 Ph: (410) 330-2590 |
| NPI Number | 1922629344 |
|---|---|
| Provider Enumeration Date | 04/27/2020 |
| Last Update Date | 04/27/2020 |
| Certification Date | 04/27/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922629344 | NPI | - | NPPES |
| 652442 | Other | JOINT COMMISSION ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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