Organization
THE BALTIMORE STATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN ALAN FRIEDEL (EXECUTIVE DIRECTOR)
(410) 752-4454
Entity
Organization
Contact information
Practice address
1611 BAKER ST, BALTIMORE, MD 21217-2363
(410) 752-4454
(410) 752-4123
Mailing address
1611 BAKER ST, BALTIMORE, MD 21217-2363
(410) 752-4454
(410) 752-4123
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
MD-10202301
MD
324500000X
Substance Abuse Rehabilitation Facility
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Other
Enumeration date
10/04/2007
Last updated
11/14/2022
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