Transformation Station Llc

LBN: Transformation Station Llc
Transformation Station Llc is an health care organization with primary practice located at 4200 Edmondson Ave Ste 100 , Baltimore MD 21229-1617. The organization recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Child & Adolescent, Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder. Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder is the primary health care specialty. Transformation Station Llc can be contacted via phone (443) 873-8139, or through Moody, Darryl via phone (443) 310-2572.

Contact Information

Primary practice address
4200 Edmondson Ave Ste 100 Baltimore MD 21229-1617
Phone: (443) 873-8139
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Moody, Darryl
Phone: (443) 310-2572

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health, Child & Adolescent 163WP0807X
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X

Profile Details

NPI number 1386370757
LBN Legal business name Transformation Station Llc
DBA Doing business as
Authorized official Moody, Darryl
Entity Organization
Organization subpart 1 No
Enumeration date Jul 28th, 2022
Last updated Aug 18th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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