The Regeneration Project | |
1 N Charles St Ste 2400 Baltimore MD 21201-3762 | |
(443) 413-5886 | |
(443) 378-7531 |
Full Name | The Regeneration Project |
---|---|
Speciality | Counselor |
Location | 1 N Charles St Ste 2400, Baltimore, Maryland |
Authorized Official Name and Position | Roddrick Stokes (DIRECTOR) |
Authorized Official Contact | 4102546175 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
The Regeneration Project 1 N Charles St Ste 2400 Baltimore MD 21201-3762 Ph: (443) 413-5886 | The Regeneration Project 1 N Charles St Ste 2400 Baltimore MD 21201-3762 Ph: (443) 413-5886 |
NPI Number | 1508978123 |
---|---|
Provider Enumeration Date | 08/31/2006 |
Last Update Date | 06/30/2023 |
Certification Date | 06/30/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1508978123 | NPI | - | NPPES |
409690800 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | 10046 (Maryland) | Primary |
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