Providing Empowerment Advocacy & Social Skills
Community/Behavioral Health

Address: 2361 Flax Ter, Baltimore, MD 21209-4625
Phone: 4103302590

Providing Empowerment Advocacy & Social Skills (NPI# 1922629344) 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) 1922629344
Entity Type Organization
Organization Name PROVIDING EMPOWERMENT ADVOCACY & SOCIAL SKILLS
Practice Address 2361 Flax Ter
Baltimore
MD 21209-4625
Practice Telephone 4103302590
Mailing Address 2361 Flax Ter
Baltimore
MD 21209-4625
Mailing Telephone 4103302590
Authorized Official Name Damian Jones (OWNER)
Authorized Official Telephone 4103302590
Organization Subpart No, this organization is not a Subpart
Enumeration Date 2020-04-27
Last Update Date 2020-04-27

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 251S00000X Community/Behavioral Health Agencies

Other Provider Identifier

State Identifier Issuer Type Code
652442 OTHER JOINT COMMISSION ID

Other Provider/Organization Names

Other Name Type Code
P.E.A.S.S. Other Name - Individual/Organization

Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition]

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Office Location

Street Address 2361 FLAX TER
City BALTIMORE
State MD
Zip Code 21209-4625

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Competitor

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City BALTIMORE
Zip Code 21209

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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.