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Organization

HOME FREE IOP

Active
Parent organization
HOME FREE IOP
Organization subpart
Yes

Provider details

NPI number
Legal business name
HOME FREE IOP
Authorized official
KAREN BRADLEY-POFF CRNP (PROGRAM ADMINISTRATOR)
(410) 225-7696
Entity
Organization

Contact information

Practice address
1500 PRESSTMAN ST, BALTIMORE, MD 21217-2370
(410) 225-7696
Mailing address
10 W MADISON ST, SUITE 11, BALTIMORE, MD 21201-5239
(410) 225-7696

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
905047
MD

Other

Enumeration date
12/06/2013
Last updated
12/06/2013
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