Organization
JEWISH COMMUNITY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA F FENWICK (MANAGER, SUPPORTED EMPLOYMENT)
(410) 843-7434
Entity
Organization
Contact information
Practice address
5750 PARK HEIGHTS AVE, BALTIMORE, MD 21215-3930
(410) 843-7434
(410) 664-0115
Mailing address
5750 PARK HEIGHTS AVE, BALTIMORE, MD 21215-3930
(410) 843-7434
(410) 664-0115
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MH-67
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MH-67
DEPARTMENT OF HEALTH AND MENTAL HYGIENE
MD
Enumeration date
09/28/2016
Last updated
09/28/2016
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