NPI 1003205907

Home Free Iop

Organisation Community/Behavioral Health Agency Baltimore, MD

Practice location

Address: 10 W Madison St STE 11, Baltimore, MD 21201-5239
Phone: (443) 438-5239

Authorised official

Name: Karen Leslie Bradley-Poff
Title: Program Administrator
Phone: (410) 225-7696

Registered specialties

Community/Behavioral Health Agency Primary

Agencies Taxonomy 251S00000X Licence 905390 (MD)

Other Community/Behavioral Health providers in Maryland →

Registry record

NPI: 1003205907
Entity type: Organization
NPI issued: 15 Jan 2015
Record last updated: 15 Jan 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.