Organization
HOUSE OF CHANGE,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN BARNES (PROGRAM DIRECTOR)
(443) 803-2891
Entity
Organization
Contact information
Practice address
2002 BOONE ST, BALTIMORE, MD 21218-6134
(410) 323-3500
Mailing address
5712 MAPLEHILL RD, BALTIMORE, MD 21239-3244
(410) 323-3500
(410) 323-3544
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
LCA1785
MD
Other
Enumeration date
03/27/2015
Last updated
03/27/2015
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