Organization
KINGS HEART RECOVERY AND WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHANTIA BEAN (OWNER)
(443) 793-8485
Entity
Organization
Contact information
Practice address
920 E 25TH ST, BALTIMORE, MD 21218-5503
(443) 793-8485
Mailing address
920 E 25TH ST, BALTIMORE, MD 21218-5503
(443) 793-8485
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
261QA0005X
Ambulatory Family Planning Facility
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
273R00000X
Psychiatric Hospital Unit
—
—
323P00000X
Psychiatric Residential Treatment Facility
—
—
347E00000X
Transportation Broker
—
—
Other
Enumeration date
09/05/2024
Last updated
09/05/2024
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