Organization
JR HEALTHCARE ASSOCIATES LLC DBA. BEHAVIORAL HEALTH CLINIC (BHC)
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NAG NELLURI (PRESIDENT & CEO)
(443) 995-4113
Entity
Organization
Contact information
Practice address
2310 N CHARLES ST, BALTIMORE, MD 21218-5127
(410) 844-4110
(410) 741-3008
Mailing address
2310 N CHARLES ST, BALTIMORE, MD 21218-5127
(410) 844-4110
(410) 741-3008
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MH-1846
MD
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
MH-1962
MD
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
905861
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4233417-00
—
MD
05
—
4239041-00
—
MD
05
—
9000089-00
—
MD
Enumeration date
05/15/2018
Last updated
06/16/2018
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