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Organization

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Active
Organization subpart
No

Provider details

NPI number
Authorized official
JAMIA JONES (OWNER/ PROGRAM DIRECTOR)
(443) 418-6282
Entity
Organization

Contact information

Practice address
1626 E FORT AVE, FIRST AND SECOND LEVELS, BALTIMORE, MD 21230-5245
(443) 835-4656
Mailing address
1626 E FORT AVE, FIRST AND SECOND LEVELS, BALTIMORE, MD 21230-5245
(443) 835-4656

Taxonomy

Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary

Other

Enumeration date
04/20/2023
Last updated
10/13/2023
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