# JEM COMPREHENSIVE

> 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:** 1770058943
- **Authorized official:** MS. MACE SHADID (CEO/DIRECTOR OF FINANCE & LOGISTICS)
- **Authorized official phone:** (410) 324-7624

## Contact information

- **Practice address:** 6700 ALEXANDER BELL DR STE 200, COLUMBIA, MD 21046-2105
- **Practice address phone:** (410) 324-7624
- **Mailing address:** 6700 ALEXANDER BELL DR STE 200, COLUMBIA, MD 21046-2105
- **Mailing address phone:** (410) 324-7624

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 252Y00000X | Early Intervention Provider Agency | — | NULL | — |
| 261QR0401X | Comprehensive Outpatient Rehabilitation Facility (CORF) | — | NULL | Yes |
| 261QR0405X | Substance Use Disorder Rehabilitation Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 10/03/2018
- **Last updated:** 10/09/2018