| Transform A Nation Inc | |
|
901 N Milton Ave # 320 Baltimore MD 21205-1316 | |
| (410) 517-9883 | |
| Not Available |
| Full Name | Transform A Nation Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 901 N Milton Ave # 320, Baltimore, Maryland |
| Authorized Official Name and Position | Tammy Braswell (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4105179883 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Transform A Nation Inc 901 N Milton Ave # 320 Baltimore MD 21205-1316 Ph: (410) 517-9883 | Transform A Nation Inc 901 N Milton Ave # 320 Baltimore MD 21205-1316 Ph: (410) 517-9883 |
| NPI Number | 1144889569 |
|---|---|
| Provider Enumeration Date | 06/10/2019 |
| Last Update Date | 10/20/2021 |
| Certification Date | 10/20/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144889569 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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