Organization
JR HEALTHCARE ASSOCIATES, LLC
Active
Other names
Behavioral Health Clinic (BHC)
Organization subpart
No
Provider details
NPI number
Authorized official
NAG NELLURI (PRESIDENT)
(443) 995-4113
Entity
Organization
Contact information
Practice address
2310 N CHARLES ST, BALTIMORE, MD 21218
(410) 844-4110
(410) 741-3008
Mailing address
2310 N CHARLES ST, BALTIMORE, MD 21218
(410) 844-4110
(410) 741-3008
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
905397
MD
261QC1500X
Community Health Clinic/Center
905397
MD
261QH0100X
Health Service Clinic/Center
905397
MD
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
905397
MD
261QM0850X
Adult Mental Health Clinic/Center
905397
MD
261QP2300X
Primary Care Clinic/Center
905397
MD
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
905397
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200803300
—
MD
Enumeration date
12/16/2014
Last updated
05/25/2016
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