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General NPI Number Information
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NPI Number | 1770233934
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Entity Type | Organization
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Legal Business Name | TRANSFORMING YOUTHS INTO ADULTS
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Dates
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Enumeration Date | 03/28/2022
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Last Update Date | 12/07/2024
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Provider Practice Location Address
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Address Line | 518 N CHARLES ST 2ND FL REAR
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City | BALTIMORE
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State | MD
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Zip | 21201-5053
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Country | US
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Telephone | 443-208-2645
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Fax |
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Provider Business Mailing Address
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Address Line | 518 N CHARLES ST 2ND FL REAR
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City | BALTIMORE
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State | MD
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Zip | 21201-5053
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Country | US
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Telephone | 443-208-2645
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. KAREEN HILL
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Credential | MSW
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Telephone | 443-208-2645
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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