Organization
JR HEALTHCARE ASSOCIATES, LLC
Active
Other names
Behavioral Health Clinic (BHC)
Organization subpart
No
Provider details
NPI number
Authorized official
LONETTA MASON (QA/PI CONSULTANT)
(410) 500-1310
Entity
Organization
Contact information
Practice address
700 WASHINGTON BLVD, BALTIMORE, MD 21230-2350
(410) 844-4110
(410) 741-3008
Mailing address
2310 N CHARLES ST, BALTIMORE, MD 21218-5127
(410) 844-4110
(410) 741-3008
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
BH000831
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BH000830
MARYLAND DEPARTMENT OF HEALTH
MD
Enumeration date
05/18/2018
Last updated
06/16/2018
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