NPIMap

Hildas Place Behavioral Health Organization, Inc.

Organization Active NPI Substance Use Disorder Rehabilitation Clinic/Center · Baltimore, MD

NPI 1245990100 · NPPES record last updated Dec 20, 2021

Key facts

NPI
1245990100
Entity type
Organization (NPI type 2)
Primary specialty
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X
Legal business name
HILDAS PLACE BEHAVIORAL HEALTH ORGANIZATION, INC.
Practice address
2304 Edgemont Ave
Baltimore, MD 21217-1909
Phone
(410) 370-8544
NPI assigned
Dec 20, 2021
Organization subpart
No

Authorized official

Name
Theresa Thomas
Title
Clinical Director
Phone
(410) 370-8544

Corporate family (same tax ID) 20

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

National Provider Directory

Tax ID family
Hilda'S Place Behavioral Health Organization (21 organizations share this tax ID)

Locations

2480 Roxbury Mills Rd
Ste 10
Glenwood, MD 21738
Phone (443) 225-8283

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Yes

Addresses

Primary practice location

2304 Edgemont Ave
Baltimore, MD 21217-1909

Mailing address

2480 Roxbury Mills Rd Ste 10
Glenwood, MD 21738-9718
Phone (410) 489-3737

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 20, 2021.

{
    "created_epoch": "1639958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639958400000",
    "number": "1245990100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2480 ROXBURY MILLS RD STE 10",
            "city": "GLENWOOD",
            "state": "MD",
            "postal_code": "217389718",
            "telephone_number": "410-489-3737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2304 EDGEMONT AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212171909",
            "telephone_number": "410-370-8544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILDAS PLACE BEHAVIORAL HEALTH ORGANIZATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-20",
        "last_updated": "2021-12-20",
        "certification_date": "2021-12-20",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "410-370-8544"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

All providers in Baltimore, MD · Substance Use Disorder Rehabilitation Clinic/Center in Maryland

Sources for this page

Verify at the official NPI Registry.