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Organization

HOPE-FULLY LLC

Active
Parent organization
HOPE-FULLY LLC
Other names
HopeFully Therapeutic Services
Organization subpart
Yes

Provider details

NPI number
Legal business name
HOPE-FULLY LLC
Authorized official
MS. JADE JOHNSON LMSW (EXECUTIVE DIRECTOR)
(443) 449-4191
Entity
Organization

Contact information

Practice address
6301 BELAIR RD UNIT A, BALTIMORE, MD 21206-1839
(443) 835-4353
Mailing address
6413 TOTTERIDGE ST, MIDDLE RIVER, MD 21220-3092
(443) 449-4191

Taxonomy

Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
324500000X
Substance Abuse Rehabilitation Facility
Primary
3245S0500X
Children's Substance Abuse Rehabilitation Facility

Other

Enumeration date
07/03/2023
Last updated
07/10/2023
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