Organization
HEAVENS PLACE-OUTPATIENT DETOX & RECOVERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BISRAT MESFIN PMHNP (CEO)
(443) 708-5612
Entity
Organization
Contact information
Practice address
11 E LEXINGTON ST STE 300, BALTIMORE, MD 21202-1720
(443) 708-5612
(410) 826-3855
Mailing address
11 E LEXINGTON ST STE 300, BALTIMORE, MD 21202-1720
(443) 708-5612
(410) 826-3855
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
07/15/2021
Last updated
07/15/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us