Individual provider · Type 1 NPI

Bernard Daniel Kenly

Substance Abuse Rehabilitation Facility · Baltimore, MD

NPI number 1134930407 Active

Practice location

2122 Mura St
Baltimore, MD 21213-3323

Call (443) 915-3632 Map

Mailing address

522 Sourghum Ct
Joppa, MD 21085-5434

Specialties and licenses

TaxonomyCodeLicense
Substance Abuse Rehabilitation Facility Primary 324500000XNone listed

Substance Abuse Rehabilitation Facility: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

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About NPI 1134930407

Bernard Daniel Kenly's National Provider Identifier is 1134930407, issued on Jan 16, 2025. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Baltimore, MD. The record was last updated on Jan 16, 2025.