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TRANSFORMATION 4 LIFE MENTAL HEALTH GROUP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. TERRI TYNETA JOHNSON LCSW-C (SOCIAL WORKER LCSW-C)
(410) 804-2421
Entity
Organization

Contact information

Practice address
4912 MIDWOOD AVE, BALTIMORE, MD 21212-4525
(410) 804-2421
Mailing address
4912 MIDWOOD AVE, BALTIMORE, MD 21212-4525
(410) 804-2421

Taxonomy

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

Other

Enumeration date
01/26/2021
Last updated
03/06/2021
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