MTJF RECOVERY AND MEDICAL SERVICES INC
NPI 1003691460
Clinic/Center - Adolescent and Children Mental Health in Baltimore, MD

Active since August 25, 2023CLIA 21D2300947 · Waiver
830 GUILFORD AVE, BALTIMORE, MD 21202(443) 843-3749 Get Directions Write a Review

NPPES record last updated: August 25, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mtjf Recovery And Medical Services Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MTJF RECOVERY AND MEDICAL SERVICES INC (NPI 1003691460) is a healthcare organization registered as an adolescent and children mental health in Baltimore, Maryland and active in the NPI registry since August 2023. The organization holds a CLIA Waiver certificate valid through March 18, 2028 and lists Shontel Greene, Ceo, as its authorized official.

NPPES Registry Identity

NPI1003691460
Entity TypeOrganization
Primary Taxonomy261QM0855X
Legal Business NameMTJF RECOVERY AND MEDICAL SERVICES INC
Location Address830 GUILFORD AVEBaltimore, MD 21202-3707
Mailing Address830 Guilford AveBaltimore, MD 21202-3707 · (443) 843-3749
Organization SubpartYes
Authorized OfficialShontel GreeneCeo · (443) 847-3749
Enumeration DateAugust 25, 2023
NPPES CertifiedAugust 25, 2023
NPI 1003691460 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Adolescent and Children Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0855X
Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.

830 GUILFORD AVE, Baltimore, MD 21202

Other Names 1

Other NamePsychiatric Rehabilitation Program Minors

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 21D2300947

Mtjf Recovery And Medical Services · Baltimore, MD
Active · expires Mar 18, 2028
CLIA Number21D2300947
Laboratory TypePhysician Office
Certificate Effective DateMarch 19, 2026
Certificate Expiration DateMarch 18, 2028
Laboratory DirectorLakeya Hutton
Laboratory Phone(443) 961-3166
Laboratory LocationMtjf Recovery And Medical Services830 Guilford Rd, Baltimore, MD 21202
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychiatric Hospital
830 GUILFORD AVE
BALTIMORE, MD 21202
Clinic/Center (Methadone)
830 GUILFORD AVE
BALTIMORE, MD 21202
Clinic/Center (Adult Mental Health)
830 GUILFORD AVE
BALTIMORE, MD 21202
Community/Behavioral Health
830 GUILFORD AVE
BALTIMORE, MD 21202
Clinic/Center (Rehabilitation, Substance Use Disorder)
830 GUILFORD AVE
BALTIMORE, MD 21202
Clinic/Center (Mental Health (Including Community Mental Health Center))
830 GUILFORD AVE
BALTIMORE, MD 21202

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mtjf Recovery And Medical Services Inc's NPI number?

The NPI number for Mtjf Recovery And Medical Services Inc is 1003691460. It was assigned to this organization in the NPPES registry on August 25, 2023. The provider is also known as Psychiatric rehabilitation program minors.

Where is Mtjf Recovery And Medical Services Inc located?

Mtjf Recovery And Medical Services Inc is located at 830 Guilford Ave, Baltimore, MD 21202. The listed phone number is (443) 843-3749.

What is Mtjf Recovery And Medical Services Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adolescent and Children Mental Health, with taxonomy code 261QM0855X.

Does Mtjf Recovery And Medical Services Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2300947) is associated with this NPI, valid through March 18, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mtjf Recovery And Medical Services Inc was last updated on August 25, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.