Rehabilitation Center For Humanity Llc | |
4200 Edmondson Ave Ste 103 Baltimore MD 21229-1600 | |
(443) 763-1046 | |
Not Available |
Full Name | Rehabilitation Center For Humanity Llc |
---|---|
Speciality | Clinic/center - Adolescent And Children Mental Health |
Location | 4200 Edmondson Ave Ste 103, Baltimore, Maryland |
Authorized Official Name and Position | Jamie L Frierson (COO) |
Authorized Official Contact | 4102629889 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Rehabilitation Center For Humanity Llc 4200 Edmondson Ave Ste 103 Baltimore MD 21229-1600 Ph: (443) 763-1046 | Rehabilitation Center For Humanity Llc 4200 Edmondson Ave Ste 103 Baltimore MD 21229-1600 Ph: (443) 763-1046 |
NPI Number | 1225716681 |
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Provider Enumeration Date | 07/06/2023 |
Last Update Date | 07/06/2023 |
Certification Date | 06/28/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1225716681 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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