GEMINI TREATMENT CENTER LLC NPI 1104522424

NPI Information

  • NPI: 1104522424
  • Provider Name: GEMINI TREATMENT CENTER, LLC
  • Classification: Family Medicine - 207QA0401X
  • Specialization: Addiction Medicine
  • Entity Type: Organization
  • Address: 705A E PATAPSCO AVE
    BALTIMORE, MD
    ZIP 21225
  • Phone: (443) 202-1685

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NPI Details

GEMINI TREATMENT CENTER, LLC is an addiction medicine family medicine in Baltimore, MD. The provider is a family medicine physician who specializes in the diagnosis and treatment of addictions. GEMINI TREATMENT CENTER, LLC NPI is 1104522424. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

705A E PATAPSCO AVE
BALTIMORE, MD
ZIP 21225-934
Phone: (443) 202-1685

The provider's authorized official is Kevin Michael Johnson .
The authorized official title is Ceo and has the following contact phone number (443) 202-1685.

The enumeration date for this NPI number is 2/7/2023 and was last updated on 2/7/2023.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207QA0401XFamily MedicineAddiction MedicineYes

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: 11/21/2025

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