EASTERN AVENUE HEALTH SOLUTIONS INC NPI 1780139998

NPI Information

EASTERN AVENUE HEALTH SOLUTIONS, INC is an addiction (substance use disorder) counselor in Baltimore, MD. EASTERN AVENUE HEALTH SOLUTIONS, INC NPI is 1780139998. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5920 EASTERN AVENUE
SUITE C
BALTIMORE, MD
ZIP 21224
Phone: (410) 631-2772
Fax: (866) 846-7468

The provider's authorized official is Jeanine Marie Gini .
The authorized official title is Administrator and has the following contact phone number (443) 600-3054.

The enumeration date for this NPI number is 8/17/2016 and was last updated on 8/17/2016.

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:

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