Organization
CREATED FOR GREATER HEALTH SYSTEMS
Active
Parent organization
CREATED FOR GREATER HEALTH SYSTEMS
Organization subpart
Yes
Provider details
NPI number
Legal business name
CREATED FOR GREATER HEALTH SYSTEMS
Authorized official
LAKIA THOMPSON LCSWC (CEO)
(443) 315-5007
Entity
Organization
Contact information
Practice address
5411 OLD FREDERICK RD STE 9, BALTIMORE, MD 21229-2126
(443) 315-5007
Mailing address
5411 OLD FREDERICK RD STE 9, BALTIMORE, MD 21229-2126
(443) 315-5007
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200309704
—
MD
Enumeration date
11/16/2021
Last updated
11/16/2021
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