St. Augustine Transitional Home
NPI #1902629694 in Windsor Mill, Maryland
Provider Information
- NPI Number
- 1902629694
- Entity Type
- Organization
- Organization Name
- St. Augustine Transitional Home
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Nov 1, 2024
- Last Updated
- Nov 1, 2024
Practice Location
- Address
- 7004 SECURITY BLVD STE 300
- City
- Windsor Mill
- State
- Maryland
- ZIP Code
- 21244-2534
- Phone
- (410) 725-2324
Authorized Official
- Name
- AUGUSTINE JACOBSON
- Title
- C.E.O
- Phone
- (410) 725-2324
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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