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Organization
ITINERIS
Active
Organization
ITINERIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER BLUM (DIRECTOR OF PEOPLE AND CULTURE)
(443) 275-1100
Entity
Organization
Contact information
Practice address
2050 ROCKROSE AVE, BALTIMORE, MD 21211-1329
(443) 275-1100
Mailing address
2050 ROCKROSE AVE, BALTIMORE, MD 21211-1329
(443) 275-1100
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
Primary
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
172V00000X
Community Health Worker
—
—
373H00000X
Day Training/Habilitation Specialist
—
—
Other
Enumeration date
08/13/2026
Last updated
08/13/2026
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