| Diamond Greene Llc | |
|
6225 Plymouth Rd Baltimore MD 21214-1544 | |
| (443) 827-3124 | |
| Not Available |
| Full Name | Diamond Greene Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 6225 Plymouth Rd, Baltimore, Maryland |
| Authorized Official Name and Position | Diamond Greene (OWNER) |
| Authorized Official Contact | 4438273124 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Diamond Greene Llc 6225 Plymouth Rd Baltimore MD 21214-1544 Ph: (443) 827-3124 | Diamond Greene Llc 6225 Plymouth Rd Baltimore MD 21214-1544 Ph: (443) 827-3124 |
| NPI Number | 1013803451 |
|---|---|
| Provider Enumeration Date | 06/13/2025 |
| Last Update Date | 06/13/2025 |
| Certification Date | 06/13/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013803451 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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