Organization
VINCENT G. BANKS CENTER FOR RESIDENTIAL SUBSTANCE USE TREATMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID HENRY THOMPSON (CEO)
(410) 800-4226
Entity
Organization
Contact information
Practice address
115 W MULBERRY ST, BALTIMORE, MD 21201-3619
(410) 800-4226
Mailing address
2641 MARYLAND AVE, BALTIMORE, MD 21218-4518
(410) 800-4226
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
04/06/2022
Last updated
04/06/2022
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