Organization
JHR CARRINGTON HOUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRI FIELDS (BILLING CREDENTIALING)
(443) 559-0450
Entity
Organization
Contact information
Practice address
3500 CLIFTON AVE, BALTIMORE, MD 21216-2539
(443) 559-0450
Mailing address
3500 CLIFTON AVE, BALTIMORE, MD 21216-2539
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
906151
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
906151
—
MD
Enumeration date
07/14/2016
Last updated
07/18/2016
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