Community Wellness Psychiatric Rehabilitation Program LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

COMMUNITY WELLNESS PSYCHIATRIC REHABILITATION PROGRAM LLC

Practice address

3310 Eastern Avenue
1St Floor
Baltimore, MD 21224

Phone

(443) 478-4304

Fax

(443) 478-4304

NPI assigned

Jan 3, 2014

Organization subpart

Yes

Parent organization

FREEDOM HEALTHCARE, LLCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Vernon Holmes Jr., MBA

Title

Ceo

Phone

(443) 478-4304

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 2

• Community Wellness Psychiatric Rehabilitation Program Doing business as
• Community Wellness Center Other name

Tax ID family

Freedom Healthcare LLC2 organizations share this tax ID, including this one

Part of

Freedom Healthcare LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Freedom Healthcare, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Baltimore, MD
  • NPI 1487106472
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1388707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773705600000",
    "number": "1205257557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3310 EASTERN AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212244108",
            "telephone_number": "443-478-4304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3310 EASTERN AVENUE",
            "address_2": "1ST FLOOR",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21224",
            "telephone_number": "443-478-4304",
            "fax_number": "443-478-4304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY WELLNESS PSYCHIATRIC REHABILITATION PROGRAM LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FREEDOM HEALTHCARE, LLC",
        "enumeration_date": "2014-01-03",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A",
        "authorized_official_last_name": "HOLMES",
        "authorized_official_first_name": "VERNON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "443-478-4304",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "800042500",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARYLAND DEPARTMENT OF HEALTH",
            "identifier": "180702671",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARYLAND DEPARTMENT OF HEALTH",
            "identifier": "180702673",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Wellness Psychiatric Rehabilitation Program",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Community Wellness Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.