Johnny Cares INC

NPI #1962899955 in Baltimore, Maryland

Provider Information

NPI Number: 1962899955
Entity Type: Organization
Organization Name: Johnny Cares INC
Subpart: Yes (part of a larger organization)
Parent Organization: JOHNNY CARES INC
Primary Specialty: Nurse Practitioner
Enumeration Date: Apr 17, 2015
Last Updated: Apr 17, 2015

Practice Location

Address: 3028 GREENMOUNT AVE
City: Baltimore
State: Maryland
ZIP Code: 21218-3938
Phone: (410) 467-6040

Authorized Official

Name: MR. WILLIAM GREEN
Title: MANAGING AGENT
Phone: (410) 467-6040

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X
Physician Assistant	363A00000X
Nurse Practitioner	363L00000X	Primary

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