MAGNOLIA BEHAVIOR HEALTH CENTER LLC
NPI 1063376861
Substance Abuse Rehabilitation Facility in Baltimore, MD

Active since December 15, 2025
3455 WILKENS AVE STE 101, BALTIMORE, MD 21229(240) 919-6062 Get Directions Write a Review

NPPES record last updated: December 15, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Magnolia Behavior Health Center Llc NPPES

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

MAGNOLIA BEHAVIOR HEALTH CENTER LLC (NPI 1063376861) is a healthcare organization registered as a substance abuse rehabilitation facility in Baltimore, Maryland and active in the NPI registry since December 2025. The organization lists Julia Shirima, Provider, as its authorized official.

NPPES Registry Identity

NPI1063376861
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameMAGNOLIA BEHAVIOR HEALTH CENTER LLC
Location Address3455 WILKENS AVE STE 101Baltimore, MD 21229-5204
Mailing Address3455 Wilkens Ave Ste 101Baltimore, MD 21229-5204 · (240) 919-6062
Organization SubpartNo
Authorized OfficialJulia ShirimaProvider · (240) 919-6062
Enumeration DateDecember 15, 2025
NPPES CertifiedDecember 15, 2025
NPI 1063376861 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

3455 WILKENS AVE STE 101, Baltimore, MD 21229

Other Providers at the Same Location NPPES 3

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

Community/Behavioral Health
3455 WILKENS AVE STE 101
BALTIMORE, MD 21229
Clinic/Center (Rehabilitation)
3455 WILKENS AVE STE 101
BALTIMORE, MD 21229
Community/Behavioral Health
3455 WILKENS AVE STE 101
BALTIMORE, MD 21229

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063376861, enumerated as an "organization" on December 15, 2025.

The provider is located at 3455 WILKENS AVE STE 101 BALTIMORE, MD 21229 and the phone number is (240) 919-6062.

Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.