Organization
JEJ CLINICAL THERAPEUTIC SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEMEL JOHNSON-SMITH (OWNER)
(443) 787-2894
Entity
Organization
Contact information
Practice address
10630 LITTLE PATUXENT PKWY STE 224D, COLUMBIA, MD 21044-3264
(410) 357-1379
Mailing address
7424 CATTERICK CT, WINDSOR MILL, MD 21244-5600
(443) 787-2894
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
01/08/2020
Last updated
01/08/2020
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