NPIMap

Organization Active NPI

Deborah's Place

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Baltimore, MD
National Provider Identifier
1386014827
Registry record updated May 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
DEBORAH'S PLACE
Practice address
1903 W North Ave
Baltimore, MD 21217-1204
Phone
(443) 857-7987
Fax
(410) 235-1120
NPI assigned
Sep 27, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2021

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

Authorized official

Name
Mr. Melvin Harris
Title
Ceo/President
Phone
(443) 857-7987

Specialties & licenses 1

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

Addresses

Primary practice location

1903 W North Ave
Baltimore, MD 21217-1204

Mailing address

1903 W North Ave
Baltimore, MD 21217-1204
Phone (443) 857-7987

National Provider Directory

National Provider Directory
Tax ID family
Deborah's Place4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

28 E 25th St
Bsmt
Baltimore, MD 21218

NPI Registry JSON

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

{
    "created_epoch": "1443312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620259200000",
    "number": "1386014827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1903 W NORTH AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212171204",
            "telephone_number": "443-857-7987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1903 W NORTH AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212171204",
            "telephone_number": "443-857-7987",
            "fax_number": "410-235-1120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBORAH'S PLACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-27",
        "last_updated": "2021-05-06",
        "certification_date": "2021-05-06",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "MELVIN",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "443-857-7987",
        "authorized_official_name_prefix": "Mr."
    },
    "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

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2021; 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.