Organization
ANNETTE'S TRANSITION HOUSE CROP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NAKEETA DAVIS (EXECUTIVE DIRECTOR)
(443) 473-2350
Entity
Organization
Contact information
Practice address
1826 PENROSE AVE, BALTIMORE, MD 21223-1653
(443) 473-2350
Mailing address
8926 BALTIMORE ST UNIT 115, SAVAGE, MD 20763-7504
(443) 473-2350
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
10/03/2025
Last updated
10/03/2025
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