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Organization

EASTERN AVENUE HEALTH SOLUTIONS, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. JEANINE MARIE GINI LCPC (ADMINISTRATOR)
(443) 600-3054
Entity
Organization

Contact information

Practice address
5920 EASTERN AVENUE, SUITE C, BALTIMORE, MD 21224
(410) 631-2772
(866) 846-7468
Mailing address
600 REISTERSTOWN RD, SUITE 600C, PIKESVILLE, MD 21208
(866) 530-9250

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Enumeration date
08/17/2016
Last updated
08/17/2016
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