| Rehabilitation Center For Humanity Llc | |
|
4200 Edmondson Ave Ste 103 Baltimore MD 21229-1600 | |
| (410) 362-2983 | |
| Not Available |
| Full Name | Rehabilitation Center For Humanity Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 4200 Edmondson Ave Ste 103, Baltimore, Maryland |
| Authorized Official Name and Position | Gemette Bass (CFO) |
| Authorized Official Contact | 4437622603 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rehabilitation Center For Humanity Llc 2903 Allendale Rd Baltimore MD 21216-1719 Ph: (410) 763-1046 | Rehabilitation Center For Humanity Llc 4200 Edmondson Ave Ste 103 Baltimore MD 21229-1600 Ph: (410) 362-2983 |
| NPI Number | 1790438406 |
|---|---|
| Provider Enumeration Date | 02/02/2022 |
| Last Update Date | 06/29/2023 |
| Certification Date | 06/29/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790438406 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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