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THE BALTIMORE STATION NPI 1710425020


NPI Information

NPI: 1710425020
Provider Name: THE BALTIMORE STATION

Other Name: BAKER STREET STATION

Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization

CLIA Number: 21D2176589

Address:
1611 BAKER ST
BALTIMORE, MD
ZIP 21217
Phone: (410) 752-4454
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THE BALTIMORE STATION is a substance abuse rehabilitation facility in Baltimore, MD. The provider is 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. THE BALTIMORE STATION NPI is 1710425020. The provider is registered as an organization entity type.
The provider Other Name Is Baker Street Station.

The provider's business location address is:

1611 BAKER ST
BALTIMORE, MD
ZIP 21217-363
Phone: (410) 752-4454
Fax: (410) 462-2561

The provider's authorized official is John Alan Friedel .
The authorized official title is Executive Director and has the following contact phone number (410) 752-4454.

The CLIA number assigned to this NPI record is 21D2176589 - other - alcohol & other drug/mh with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/7/2017 and was last updated on 11/14/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1324500000XSubstance Abuse Rehabilitation FacilityMD-10287401MARYLANDYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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