Organization
CREATED FOR GREATER HEALTH SYSTEMS
Active
Parent organization
CREATED FOR GREATER PSYCHIATRIC REHABILITATION PROGRAM
Other names
Created For Greater Psychiatric Rehabilitation Program
Organization subpart
Yes
Provider details
NPI number
Legal business name
CREATED FOR GREATER PSYCHIATRIC REHABILITATION PROGRAM
Authorized official
LAKIA THOMPSON (CEO)
(443) 315-5007
Entity
Organization
Contact information
Practice address
5411 OLD FREDERICK RD STE 8, BALTIMORE, MD 21229-2126
(443) 315-5007
Mailing address
5411 OLD FREDERICK RD STE 8, BALTIMORE, MD 21229-2126
(443) 315-5007
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/12/2018
Last updated
10/12/2018
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