| Groundwork Behavioral Health Services Corp | |
|
615 N Carrollton Ave Apt 1f 1b 2b 2f 3b 3f Basement Baltimore MD 21217-2415 | |
| (443) 575-6626 | |
| Not Available |
| Full Name | Groundwork Behavioral Health Services Corp |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 615 N Carrollton Ave Apt 1f 1b 2b 2f 3b 3f Basement, Baltimore, Maryland |
| Authorized Official Name and Position | Joy Edison (CEO) |
| Authorized Official Contact | 4108311331 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Groundwork Behavioral Health Services Corp 4713-4715 Leeds Ave Halethorpe MD 21227 Ph: () - | Groundwork Behavioral Health Services Corp 615 N Carrollton Ave Apt 1f 1b 2b 2f 3b 3f Basement Baltimore MD 21217-2415 Ph: (443) 575-6626 |
| NPI Number | 1396314340 |
|---|---|
| Provider Enumeration Date | 06/23/2021 |
| Last Update Date | 10/25/2023 |
| Certification Date | 10/25/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396314340 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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