# HOMEOSTASIS HAVEN

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1205527850
- **Authorized official:** MRS. LERIN JACKSON CRNP,PMH, MSN, RN (MEDICAL DIRECTOR)
- **Authorized official phone:** (443) 488-3645

## Contact information

- **Practice address:** 7501 LIBERTY RD, BALTIMORE, MD 21207-3870
- **Practice address phone:** (443) 488-3645
- **Mailing address:** 1925 HILLENWOOD RD, BALTIMORE, MD 21239-3620
- **Mailing address phone:** (443) 488-3645

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 05/16/2023
- **Last updated:** 05/16/2023