Organization
SOLE PURPOSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMAL SCOTT (CO-OWNER)
(443) 540-6349
Entity
Organization
Contact information
Practice address
330 E 25TH ST # 4, BALTIMORE, MD 21218-5359
(443) 540-6349
Mailing address
330 E 25TH ST # 4, BALTIMORE, MD 21218-5359
(443) 540-6349
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/29/2019
Last updated
10/29/2019
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