Organization
TRUE VINE ADULT MEDICAL DAY CARE, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARCUS MOTTON (PROGRAM DIRECTOR)
(410) 444-0204
Entity
Organization
Contact information
Practice address
5629 HARFORD RD, BALTIMORE, MD 21214-2272
(410) 444-0204
(410) 444-0124
Mailing address
5629 HARFORD RD, BALTIMORE, MD 21214-2272
(410) 444-0204
(410) 444-0124
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
09/18/2017
Last updated
07/21/2022
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