| One Promise Halfway House | |
|
3213 Hamilton Ave Baltimore MD 21214-2641 | |
| (443) 835-2681 | |
| Not Available |
| Full Name | One Promise Halfway House |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3213 Hamilton Ave, Baltimore, Maryland |
| Authorized Official Name and Position | Craig Howard Lippens (PROGRAM ADMINISTRATOR) |
| Authorized Official Contact | 4103820528 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| One Promise Halfway House 6207 Belair Rd Baltimore MD 21206-1942 Ph: (443) 835-2681 | One Promise Halfway House 3213 Hamilton Ave Baltimore MD 21214-2641 Ph: (443) 835-2681 |
| NPI Number | 1053045054 |
|---|---|
| Provider Enumeration Date | 07/14/2022 |
| Last Update Date | 09/01/2022 |
| Certification Date | 09/01/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053045054 | NPI | - | NPPES |
| 641027800 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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