Organization · Type 2 NPI

House of Change,inc.

Substance Abuse Rehabilitation Facility · Baltimore, MD

NPI number 1750047338 Active

Practice location

1607 Edmondson Ave
Baltimore, MD 21223-1215

Call (410) 366-3500 Map

Mailing address

5209 York Rd Ste B6
Baltimore, MD 21212-4247

Specialties and licenses

Taxonomy	Code	License
Substance Abuse Rehabilitation Facility Primary	324500000X	None 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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NPI record

NPI: 1750047338
Entity type: Organization (Type 2)
Issued: Nov 9, 2021
Last updated: Nov 9, 2021
Status: Active
Subpart: Yes of House of Change,inc.

Other names

House of Change Behavioral Health Center · doing business as

Authorized official

Vanessa Lyle
Billing Specialist / Credential SPC
(410) 500-0712

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1750047338

House of Change,inc.'s National Provider Identifier is 1750047338, issued on Nov 9, 2021. 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 Nov 9, 2021.