Vincent G. Banks Center for Residential Substance Use Treatment
Substance Abuse Rehabilitation Facility

Address: 12 E Eager St, Baltimore, MD 21202-2514
Phone: 4108004226

Vincent G. Banks Center for Residential Substance Use Treatment (NPI# 1629629670) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1629629670
Entity Type Organization
Organization Name VINCENT G. BANKS CENTER FOR RESIDENTIAL SUBSTANCE USE TREATMENT
Practice Address 12 E Eager St
Baltimore
MD 21202-2514
Practice Telephone 4108004226
Mailing Address 2641 Maryland Ave
Baltimore
MD 21218-4518
Mailing Telephone 4108004226
Authorized Official Name Mr. David Henry Thompson (CEO)
Authorized Official Telephone 4108004226
Authorized Official Credential LCPC
Organization Subpart No, this organization is not a Subpart
Enumeration Date 2019-09-21
Last Update Date 2020-04-22

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
No 101YP2500X Counselor · Professional Behavioral Health & Social Service Providers
Yes 324500000X Substance Abuse Rehabilitation Facility Residential Treatment Facilities

Other Provider Identifier

State Identifier Issuer Type Code
MD 502387400 MEDICAID

Taxonomy Information

Taxonomy Code 324500000X
Grouping Residential Treatment Facilities
Classification Substance Abuse Rehabilitation Facility

Taxonomy Definition

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
Notes: [7/1/2003: modified title, modified definition]

Providers in the same taxonomy and city

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1417577966 Royal Minds Inc Substance Abuse Rehabilitation Facility 928 W Franklin St, Baltimore, MD 21223-1337 2020-04-24
1912527722 Royal Minds Inc Substance Abuse Rehabilitation Facility 533 Chateau Ave, Baltimore, MD 21212-4306 2020-04-22
1841829892 Cmds Residential Substance Abuse Rehabilitation Facility 15 S Fulton Ave, Baltimore, MD 21223-2306 2020-04-02
1306472964 Created for Greater Health Systems Substance Abuse Rehabilitation Facility 1508 N Caroline St, Baltimore, MD 21213-2804 2020-03-16
1497380893 Top'em Substance Abuse Rehabilitation Facility 8105 Timberbrooke Rd, Baltimore, MD 21237-3350 2020-03-05
1790318210 Powell Recovery Center, Inc. Substance Abuse Rehabilitation Facility 7 S Broadway, Baltimore, MD 21231-1558 2020-02-13
1598397572 Royal Minds Inc Substance Abuse Rehabilitation Facility 2767 The Alameda, Baltimore, MD 21218-4921 2020-02-07
1881226140 Royal Minds Inc. Substance Abuse Rehabilitation Facility 518 E North Ave, Baltimore, MD 21202-5911 2020-02-05
1205473618 Open Arms, LLC Substance Abuse Rehabilitation Facility 4201 Belmar Ave Ste 3, Baltimore, MD 21206-1900 2019-12-04
1356988745 The T.i.m.e Organization Group Substance Abuse Rehabilitation Facility 300 E Lombard St Ste 1700, Baltimore, MD 21202-3243 2019-12-04
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Office Location

Street Address 12 E EAGER ST
City BALTIMORE
State MD
Zip Code 21202-2514

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1750938650 Anthony Graves Behavior Technician 414 Light Street, Baltimore, MD 21202 2019-08-25
1235786609 Perfected Medical Billing & Consulting Service Inc. Rehabilitation Counselor 11 E Mt Royal Avenue, 3rd Flr Ste 2, Baltimore, MD 21202 2019-08-21
1700430246 Ronie George Nurse Practitioner 345 St. Paul Place Dept of Pediatrics, Baltimore, MD 21202 2019-08-01
1750940185 Katherine Wachter Mullins Social Worker 200 East North Ave, Related Services - Rm 210, Baltimore, MD 21202 2019-06-10
1720647175 Ivelysse Claudio Cortes Speech-Language Pathologist Rsu/ofic of Spec Educ- Speech-language Department, 200 E North Avenue, Room 211, Baltimore, MD 21202 2019-06-10
1497314157 Debera Marie Reznitsky Speech-Language Pathologist 200 East North Avenue, Related Services Rm 210, Baltimore, MD 21202 2019-06-06
1154989952 Zirka Oksanna Hanas Speech-Language Pathologist 200 E. North Avenue, Related Services Room #210, Baltimore, MD 21202 2019-06-05
1750946224 Lareneque Bartholomew Counselor 110 East Lexington Street, Suite 200, Baltimore, MD 21202 2019-05-09
1700349602 Strategies, Inc. Behavior Analysis & Therapeutic Services Behavior Analyst 414 Light Street, Baltimore, Md, Usa, 2103, Baltimore, MD 21202 2019-04-09
1902384068 Medical Practice Billing and Solution, LLC Clinic/Center 224 N Gay Street, Baltimore, MD 21202 2018-08-01
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Competitor

Search similar providers

City BALTIMORE
Zip Code 21202

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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