Organization
GEMINI TREATMENT CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN MICHAEL JOHNSON SR. (CEO)
(443) 202-1685
Entity
Organization
Contact information
Practice address
705A E PATAPSCO AVE, BALTIMORE, MD 21225-1934
(443) 202-1685
Mailing address
705A E PATAPSCO AVE, BALTIMORE, MD 21225-1934
(443) 202-1685
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
02/07/2023
Last updated
02/07/2023
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