| 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 |
|---|---|
| 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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