Organization
YOUR HEALTH NETWORK, INC.
Active
Parent organization
YOUR HEALTH NETWORK, INC.
Other names
Evergreen Health Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
YOUR HEALTH NETWORK, INC.
Authorized official
MS. JESSICA L KOHNEN (EXECUTIVE DIRECTOR)
(443) 451-4973
Entity
Organization
Contact information
Practice address
733 W 40TH ST, SUITE 200, BALTIMORE, MD 21211-2112
(443) 451-4993
Mailing address
3000 FALLS RD, SUITE 1, BALTIMORE, MD 21211-2474
(443) 963-2818
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5354021
—
MD
Enumeration date
01/06/2015
Last updated
01/06/2015
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