Organization
JOHNNY CARES, INC
Active
Other names
MedHealth @ Waverly
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM GREEN (CEO)
(410) 467-6040
Entity
Organization
Contact information
Practice address
3028 GREENMOUNT AVE, BALTIMORE, MD 21218-3938
(410) 467-6040
(410) 467-5944
Mailing address
1734 MARYLAND AVE, BALTIMORE, MD 21201-5804
(410) 467-6040
(410) 467-5944
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
122300000X
Dentist
—
—
124Q00000X
Dental Hygienist
—
—
126800000X
Dental Assistant
—
—
363A00000X
Physician Assistant
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/27/2015
Last updated
04/27/2015
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