# NEXUS-WOODBOURNE FAMILY HEALING

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033149257
- **Authorized official:** DR. KENNETH VARBLE (CORPORATE CONTROLLER)
- **Authorized official phone:** (763) 551-8640

## Contact information

- **Practice address:** 1301 WOODBOURNE AVE, BALTIMORE, MD 21239-3316
- **Practice address phone:** (410) 433-1000
- **Practice address fax:** (410) 435-2938
- **Mailing address:** 1301 WOODBOURNE AVE, BALTIMORE, MD 21239-3316
- **Mailing address phone:** (410) 433-1000
- **Mailing address fax:** (410) 435-2938

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 07/04/2006
- **Last updated:** 12/07/2022