| Vine Health Care, Inc | |
|
7131 Liberty Rd Ste 200 Baltimore MD 21207-4599 | |
| (443) 850-1967 | |
| Not Available |
| Full Name | Vine Health Care, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 7131 Liberty Rd Ste 200, Baltimore, Maryland |
| Authorized Official Name and Position | Oluwafemi Moyoade Ikusika (C.E.O) |
| Authorized Official Contact | 4436211931 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vine Health Care, Inc 7131 Liberty Rd Ste 200 Baltimore MD 21207-4599 Ph: (410) 637-3005 | Vine Health Care, Inc 7131 Liberty Rd Ste 200 Baltimore MD 21207-4599 Ph: (443) 850-1967 |
| NPI Number | 1114477718 |
|---|---|
| Provider Enumeration Date | 10/06/2016 |
| Last Update Date | 08/17/2020 |
| Certification Date | 08/17/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114477718 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | MH2147 (Maryland) | Primary |
Trinity Healthcare Services Incorporated Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4701 Belair Rd, Baltimore, MD 21206 Phone: 410-325-1850 | |
Michael B. Freedman Phd Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6006 Park Heights Ave, Baltimore, MD 21215 Phone: 410-790-8433 Fax: 443-501-3379 | |
Sankofa Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 801 Key Hwy, Unit 442, Baltimore, MD 21230 Phone: 301-758-3682 | |
Home Free Iop Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10 W Madison St Ste 11, Baltimore, MD 21201 Phone: 443-438-5239 | |
All Walks Of Life, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 107 E 25th St, Baltimore, MD 21218 Phone: 410-558-0019 | |
Devaughn Intervention Teach And Treat Options Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4804 York Rd Ste 2, Baltimore, MD 21212 Phone: 443-873-8958 Fax: 443-873-8959 | |
Darryl M Coleman Md Pa Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 115 N Monroe St, Baltimore, MD 21223 Phone: 443-708-4391 Fax: 443-708-4436 |