| Hawthorne Legacy Enterprises | |
|
113 West Rd Ste 202a Towson MD 21204-2318 | |
| (443) 740-0814 | |
| Not Available |
| Full Name | Hawthorne Legacy Enterprises |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 113 West Rd Ste 202a, Towson, Maryland |
| Authorized Official Name and Position | Keisha Hawthorne-jones (MANAGING MEMBER) |
| Authorized Official Contact | 4437400814 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hawthorne Legacy Enterprises 113 Swarthmore Dr Towson MD 21204-2749 Ph: () - | Hawthorne Legacy Enterprises 113 West Rd Ste 202a Towson MD 21204-2318 Ph: (443) 740-0814 |
| NPI Number | 1891671087 |
|---|---|
| Provider Enumeration Date | 08/13/2025 |
| Last Update Date | 08/13/2025 |
| Certification Date | 08/13/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891671087 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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