| Transformational Recovery | |
|
535 Dundalk Ave Unit B Baltimore MD 21224-2903 | |
| (443) 398-1414 | |
| Not Available |
| Full Name | Transformational Recovery |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 535 Dundalk Ave Unit B, Baltimore, Maryland |
| Authorized Official Name and Position | Kenya Conway (CO-OWNER) |
| Authorized Official Contact | 4433981414 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Transformational Recovery 535 Dundalk Ave Baltimore MD 21224-2903 Ph: (443) 398-1414 | Transformational Recovery 535 Dundalk Ave Unit B Baltimore MD 21224-2903 Ph: (443) 398-1414 |
| NPI Number | 1275293706 |
|---|---|
| Provider Enumeration Date | 12/24/2021 |
| Last Update Date | 12/24/2021 |
| Certification Date | 12/24/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275293706 | NPI | - | NPPES |
| 211011741 | Other | MD | BHA LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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