Organization
THE BALTIMORE STATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN FRIEDEL (EXECUTIVE DIRECTOR)
(410) 752-4454
Entity
Organization
Contact information
Practice address
140 W WEST ST, BALTIMORE, MD 21230-3739
(410) 752-4454
(410) 752-4123
Mailing address
140 W WEST ST, BALTIMORE, MD 21230-3739
(410) 752-4454
(410) 752-4123
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
905352
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
838003
—
MD
Enumeration date
06/23/2017
Last updated
11/14/2022
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