| |
2514 Greenmount Ave Baltimore MD 21228 | |
(410) 617-0142 | |
Not Available |
Full Name | |
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Speciality | Substance Abuse Rehabilitation Facility |
Location | 2514 Greenmount Ave, Baltimore, Maryland |
Authorized Official Name and Position | Cynthia C Roberson (COMPLIANCE DIRECTOR) |
Authorized Official Contact | 6672393263 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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428 E 25th St Baltimore MD 21218-5304 Ph: (410) 617-0142 | 2514 Greenmount Ave Baltimore MD 21228 Ph: (410) 617-0142 |
NPI Number | 1447723754 |
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Provider Enumeration Date | 01/09/2019 |
Last Update Date | 05/16/2019 |
Identifier | Type | State | Issuer |
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1447723754 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
324500000X | Substance Abuse Rehabilitation Facility | (* (Not Available)) | Primary |
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