NPI 1174801070

Revitalized Family Ministries

Organisation Community/Behavioral Health Agency Brooklyn, MD

Practice location

Address: 310 Dockside CT, Brooklyn, MD 21225-2935
Phone: (410) 812-2521
Mailing address: PO Box 19797, Baltimore, MD 21225-0597

Authorised official

Name: Melissa Rae Gordon
Title: Owner
Phone: (410) 812-2521

Registered specialties

Community/Behavioral Health Agency Primary

Agencies Taxonomy 251S00000X

Other Community/Behavioral Health providers in Maryland →

Registry record

NPI: 1174801070
Entity type: Organization
NPI issued: 26 Jul 2011
Record last updated: 26 Jul 2011

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.