Organization · Type 2 NPI

The Johns Hopkins Hospital

Mental Illness Community Based Residential Treatment Facility · Baltimore, MD

NPI number 1124591680 Active

Practice location

1216 E Baltimore St
Baltimore, MD 21202-4710

Call (410) 955-5439 Map

Mailing address

911 N Broadway
Baltimore, MD 21205-1119

Specialties and licenses

Taxonomy	Code	License
Mental Illness Community Based Residential Treatment Facility Primary	320800000X	None listed

Mental Illness Community Based Residential Treatment Facility: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

2 other providers at this address

Other mental illness community based residential treatment facility providers in Baltimore

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NPI record

NPI: 1124591680
Entity type: Organization (Type 2)
Issued: Jan 8, 2019
Last updated: Mar 11, 2022
Status: Active

Other names

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JHH Broadway Center for Addiction Wilson House · doing business as
JHH Broadway Center for Addiction Wilson House · doing business as

Authorized official

Redonda Miller, MD
President
(410) 955-0620

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About NPI 1124591680

The Johns Hopkins Hospital's National Provider Identifier is 1124591680, issued on Jan 8, 2019. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Baltimore, MD. The record was last updated on Mar 11, 2022.