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GREATER BALTIMORE BEHAVIORAL HEALTH SERVICES LLC
NPI 1972246593
Substance Abuse Rehabilitation Facility in Baltimore, MD

Active since April 20, 2022
402 E 25TH ST, BALTIMORE, MD 21218(410) 889-3000 Get Directions Write a Review

NPPES record last updated: April 20, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Greater Baltimore Behavioral Health Services Llc NPPES

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

GREATER BALTIMORE BEHAVIORAL HEALTH SERVICES LLC (NPI 1972246593) is a healthcare organization registered as a substance abuse rehabilitation facility in Baltimore, Maryland and active in the NPI registry since April 2022. The organization lists Olanrewaju W Etti, Ceo, as its authorized official.

NPPES Registry Identity

NPI1972246593
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameGREATER BALTIMORE BEHAVIORAL HEALTH SERVICES LLC
Location Address402 E 25TH STBaltimore, MD 21218-5304
Mailing Address402 E 25th StBaltimore, MD 21218-5304 · (410) 889-3000
Phone(410) 889-3000
Organization SubpartNo
Authorized OfficialOlanrewaju W EttiCeo · (410) 889-3000
Enumeration DateApril 20, 2022
NPPES CertifiedApril 20, 2022
✔ NPI 1972246593 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.
402 E 25TH ST, Baltimore, MD 21218
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Other Names 1

Doing Business AsGreater Baltimore Behavioral Health Services Llc

Other Identifiers 1

Medicaid4108893000MD

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.

GREATER BALTIMORE BEHAVIORAL HEALTH SERVICES LLC
Substance Abuse Rehabilitation Facility
402 E 25TH ST
BALTIMORE, MD 21218
Baltimore City (410) 889-3000
CYNTHIA ZOE GOTOMO
Nurse Practitioner (Psychiatric/Mental Health)
402 E 25TH ST
BALTIMORE, MD 21218
Baltimore City (410) 493-8389
OLANREWAJU W ETTI
Community/Behavioral Health
402 E 25TH ST
BALTIMORE, MD 21218
Baltimore City (410) 889-3000

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 Greater Baltimore Behavioral Health Services LLC's NPI number?

The NPI number for Greater Baltimore Behavioral Health Services LLC is 1972246593. It was assigned to this organization in the NPPES registry on April 20, 2022.

Where is Greater Baltimore Behavioral Health Services LLC located?

Greater Baltimore Behavioral Health Services LLC is located at 402 E 25th St, Baltimore, MD 21218. The listed phone number is (410) 889-3000.

What is Greater Baltimore Behavioral Health Services LLC's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for Greater Baltimore Behavioral Health Services LLC was last updated on April 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.