Organization
GEMINI TREATMENT CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN M JOHNSON SR. (CEO)
(443) 202-1685
Entity
Organization
Contact information
Practice address
705 E PATAPSCO AVE STE A, BALTIMORE, MD 21225-1934
(410) 891-6677
Mailing address
705 E PATAPSCO AVE STE A, BALTIMORE, MD 21225-1934
(410) 891-6677
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NA
—
MD
Enumeration date
08/24/2022
Last updated
08/25/2022
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