Organization
JOHNS HOPKINS HEALTH SYSTEM
Active
Other names
Creative Alternatives
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD J WERTHMAN (VP, FINANCE, TREASURER, CFO, JHHS)
(410) 955-6552
Entity
Organization
Contact information
Practice address
1821 PORTAL STREET, SUITE B, BALTIMORE, MD 21224
(410) 550-0070
(410) 550-1061
Mailing address
PO BOX 632053, BALTIMORE, MD 21263-2053
(443) 997-0001
(443) 997-0011
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
14028
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
135060900
MA CONTRACTOR
—
Enumeration date
12/18/2006
Last updated
12/13/2010
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