Organization
MARYLAND RECOVERY HOMES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE JANESTA KELLEY (PROGRAM DIRECTOR)
(410) 215-2619
Entity
Organization
Contact information
Practice address
3812 CHESLEY AVE, BALTIMORE, MD 21206-1509
(410) 215-2619
Mailing address
3812 CHESLEY AVE, BALTIMORE, MD 21206-1509
(410) 215-2619
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000051629
—
MD
05
—
1000051637
—
MD
05
—
1000054548
—
MD
05
—
1000142723
—
MD
Enumeration date
01/16/2025
Last updated
01/16/2025
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