Organization
HOME FREE IOP
Active
Parent organization
HOME FREE IOP
Organization subpart
Yes
Provider details
NPI number
Legal business name
HOME FREE IOP
Authorized official
KAREN LESLIE BRADLEY-POFF CRNP (PROGRAM ADMINISTRATOR)
(410) 225-7696
Entity
Organization
Contact information
Practice address
10 W MADISON ST STE 11, BALTIMORE, MD 21201-5239
(443) 438-5239
Mailing address
10 W MADISON ST STE 11, BALTIMORE, MD 21201-5239
(443) 438-5239
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
905390
MD
Other
Enumeration date
01/15/2015
Last updated
01/15/2015
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