Organization
NEXUS-WOODBOURNE FAMILY HEALING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH VARBLE (CORPORATE CONTROLLER)
(763) 551-8640
Entity
Organization
Contact information
Practice address
1301 WOODBOURNE AVE, BALTIMORE, MD 21239-3316
(410) 433-1000
(410) 435-2938
Mailing address
1301 WOODBOURNE AVE, BALTIMORE, MD 21239-3316
(410) 433-1000
(410) 435-2938
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
235395400
—
MD
05
—
324502100
—
MD
Enumeration date
07/04/2006
Last updated
12/07/2022
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