| The Regeneration Project Llc | |
|
1 N Charles St Ste 2400 Baltimore MD 21201-3762 | |
| (410) 254-6175 | |
| (410) 254-0300 |
| Full Name | The Regeneration Project Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1 N Charles St Ste 2400, Baltimore, Maryland |
| Authorized Official Name and Position | Kwame Rich (DIRECTOR) |
| Authorized Official Contact | 4438024860 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Regeneration Project Llc 1 N Charles St Ste 2400 Baltimore MD 21201-3762 Ph: (410) 254-6175 | The Regeneration Project Llc 1 N Charles St Ste 2400 Baltimore MD 21201-3762 Ph: (410) 254-6175 |
| NPI Number | 1336308501 |
|---|---|
| Provider Enumeration Date | 06/03/2008 |
| Last Update Date | 07/05/2023 |
| Certification Date | 07/05/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336308501 | NPI | - | NPPES |
| 992400100 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 2818 (Maryland) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
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