Organization

Transformation Health, Llc

Community/Behavioral Health Agency in Baltimore, MD(View on Map)

Legal Business Name

Transformation Health, Llc

NPI Number

1568919793

NPI Type

Organization

Enumeration Date

09/06/2016

Specialties

(Taxonomies)

Code

251S00000X

Primary Taxonomy

Yes

Licenses

State

Maryland

License Number

MH-2100

Contact
Information

Purpose

Mailing
Location

Address

376 CHESSINGTON DR
312 MARTIN LUTHER KING JR BLVD STE 103&300

City

Odenton
Baltimore

State

MD
MD

Postal Code

21113-1319
21201-1221

Country

US
US

Telephone Number

(443) 224-3002
(443) 759-9592

Authorized Official

Name

Ms. Monica Boddie

Title or Position

CEO

Telephone Number

(443) 224-3002

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

Data last updated by provider on 12/22/2021

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