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Organization
JR HEALTH CARE ASSOCIATES, LLC
Active
Organization
JR HEALTH CARE ASSOCIATES, LLC
Active
Other names
Behavioral Health Clininc (BHC)
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NAG NELLURI (PRESIDENT)
(443) 995-4113
Entity
Organization
Contact information
Practice address
2310 N CHARLES ST, BALTIMORE, MD 21218-5127
(410) 844-4110
(410) 741-3008
Mailing address
2310 N CHARLES ST, BALTIMORE, MD 21218-5127
(410) 844-4110
(410) 741-3008
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
MH-1962
MD
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
MH-1962
MD
Other
Enumeration date
05/05/2016
Last updated
05/05/2016
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