Gemini Treatment Center, Llc | |
705 E Patapsco Ave Ste A Baltimore MD 21225-1934 | |
(410) 891-6677 | |
Not Available |
Full Name | Gemini Treatment Center, Llc |
---|---|
Speciality | Clinic/center |
Location | 705 E Patapsco Ave Ste A, Baltimore, Maryland |
Authorized Official Name and Position | Kevin M Johnson (CEO) |
Authorized Official Contact | 4432021685 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Gemini Treatment Center, Llc 705 E Patapsco Ave Ste A Baltimore MD 21225-1934 Ph: (410) 891-6677 | Gemini Treatment Center, Llc 705 E Patapsco Ave Ste A Baltimore MD 21225-1934 Ph: (410) 891-6677 |
NPI Number | 1023737012 |
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Provider Enumeration Date | 08/24/2022 |
Last Update Date | 08/25/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1023737012 | NPI | - | NPPES |
NA | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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