MEDICARE: JOURNEY HEALTH CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker
2	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1336595552
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JOURNEY HEALTH CENTER

Provider Business Mailing Address
First Line	:	1808 WOODLAWN DR
Second Line	:	SUITE H
City	:	HANOVER
State	:	MD
Zip	:	21076-1921
Country	:	US
Telephone Number	:	410-209-7041
Fax Number	:	410-510-1354

Provider Business Practice Location Address
First Line	:	1808 WOODLAWN DR
Second Line	:	SUITE H
City	:	BALTIMORE
State	:	MD
Zip	:	21207-4023
Country	:	US
Telephone Number	:	410-298-0734
Fax Number	:	410-510-1354

Authorized Official
Title or Position	:	OWNER
Name	:	ROBIN WARREN-DORSEY
Credential	:	CRNP DNP
Telephone Number	:	410-209-7041

Provider Enumeration Date	:	05/06/2016
Last Update Date	:	05/03/2019

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Directions to “JOURNEY HEALTH CENTER ” Practice Location

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