Individual provider · Type 1 NPI

Jay Goodman

Community/Behavioral Health Agency · Baltimore, MD

NPI number 1295526192 Active

Practice location

4805 Garrison Blvd
Baltimore, MD 21215-5695

Call (443) 869-2600 Map

Mailing address

4221 Towanda Ave
Baltimore, MD 21215-6626

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency Primary 251S00000XNone listed

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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About NPI 1295526192

Jay Goodman's National Provider Identifier is 1295526192, issued on May 13, 2025. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Baltimore, MD. The record was last updated on May 13, 2025.