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COMMUNITY WELLNESS PSYCHIATRIC REHABILITATION PROGRAM LLC
NPI 1205257557
Clinic/Center - Mental Health (Including Community Mental Health Center) in Baltimore, MD

Active since January 03, 2014
3310 EASTERN AVENUE, 1ST FLOOR, BALTIMORE, MD 21224(443) 478-4304(443) 478-4304 Get Directions Write a Review

NPPES record last updated: March 17, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 17, 2026, Jul 11, 2025, Dec 25, 2024 and 2 more (5 updates tracked since 2016).

About Community Wellness Psychiatric Rehabilitation Program Llc NPPES

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

COMMUNITY WELLNESS PSYCHIATRIC REHABILITATION PROGRAM LLC (NPI 1205257557), doing business as Community Wellness Psychiatric Rehabilitation Program, is a healthcare organization registered as a mental health (including community mental health center) in Baltimore, Maryland and active in the NPI registry since January 2014. The organization lists Vernon Holmes, Ceo, as its authorized official.

NPPES Registry Identity

NPI1205257557
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameCOMMUNITY WELLNESS PSYCHIATRIC REHABILITATION PROGRAM LLC
Location Address3310 EASTERN AVENUE, 1ST FLOORBaltimore, MD 21224
Mailing Address3310 Eastern AveBaltimore, MD 21224-4108 · (443) 478-4304
Phone(443) 478-4304
Fax(443) 478-4304
Organization SubpartYesParent: Freedom Healthcare, Llc
Authorized OfficialVernon HolmesCeo · (443) 478-4304
Enumeration DateJanuary 3, 2014
Last NPPES UpdateMarch 17, 20265 updates tracked since enumeration
NPPES CertifiedMarch 17, 2026
✔ NPI 1205257557 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
3310 EASTERN AVENUE, Baltimore, MD 21224
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Other Names 2

Doing Business AsCommunity Wellness Psychiatric Rehabilitation Program
Other NameCommunity Wellness Center

Other Identifiers 3

Medicaid800042500MD
Other180702671MD · Maryland Department Of Health
Other180702673MD · Maryland Department Of Health

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 Community Wellness Psychiatric Rehabilitation Program LLC's NPI number?

The NPI number for Community Wellness Psychiatric Rehabilitation Program LLC is 1205257557. It was assigned to this organization in the NPPES registry on January 3, 2014. The provider is doing business as Community Wellness Psychiatric Rehabilitation Program. The provider is also known as Community Wellness Center.

Where is Community Wellness Psychiatric Rehabilitation Program LLC located?

Community Wellness Psychiatric Rehabilitation Program LLC is located at 3310 Eastern Avenue 1st Floor, Baltimore, MD 21224. The listed phone number is (443) 478-4304.

What is Community Wellness Psychiatric Rehabilitation Program LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Community Wellness Psychiatric Rehabilitation Program LLC was last updated on March 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.