Organization
BUILDING BLOCKS HEALTHCARE NETWORK LLC
Active
Other names
BBHCN
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTY TERESA GODWIN (OWNER)
(443) 651-4019
Entity
Organization
Contact information
Practice address
3242 ESTHER PL, BALTIMORE, MD 21224-1431
(410) 725-1435
Mailing address
13603 MARY BOWIE PKWY, UPPER MARLBORO, MD 20774-9075
(443) 651-4019
Taxonomy
Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261Q00000X
Clinic/Center
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
—
—
Other
Enumeration date
07/05/2019
Last updated
07/12/2022
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