Organization
WINCHESTER HOUSE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAMBIZ MORADIAN (DIRECTOR)
(410) 484-8500
Entity
Organization
Contact information
Practice address
2940 ELLICOTT DR, BALTIMORE, MD 21216-4234
(410) 624-7111
Mailing address
2833 SMITH AVE STE 148, BALTIMORE, MD 21209-1426
(410) 484-8500
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
01/13/2025
Last updated
01/13/2025
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