Created For Greater Health Systems - Clinic/Center in Baltimore, Maryland | ProviderWire

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Clinic/Center
Maryland
Baltimore
Created For Greater Health Systems

Legal Business Name

Created For Greater Health Systems

NPI Number

1427608835

NPI Type

Organization

Enumeration Date

09/17/2019

Specialties

(Taxonomies)

Name

Code

261Q00000X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing

Location

Address

22 WELLSPRING CIR

5411 OLD FREDERICK RD STE 8

City

Owings Mills

Baltimore

State

MD

MD

Postal Code

21117-5400

21229-2126

Country

US

US

Telephone Number

(443) 315-5007

(443) 315-5007

Authorized Official

Name

Lakia Thompson

Title or Position

CEO

Telephone Number

(443) 315-5007

Identifiers

Identifier

2018

Identifier State

MD

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 09/17/2019

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