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Mr. Kevin Michael Johnson SR.
Community/Behavioral Health Agency in Towson, Maryland
NPI 1285221333

Kevin Michael Johnson SR. is a Community/Behavioral Health Agency based in Towson, MD. Kevin Michael Johnson SR. practices in Towson, MD. The NPI Number for Kevin Michael Johnson SR. is 1285221333 and holds a License No. (Maryland).

The current practice location address for Kevin Michael Johnson SR. is 28 E Susquehanna Ave Ste 101&102, Towson, MD and can be reached out via phone at 443-685-8565.

Location: 28 E Susquehanna Ave Ste 101&102, Towson, MD, 21286-5218
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1285221333
Provider Name
Kevin Michael Johnson SR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
28 E Susquehanna Ave Ste 101&102, Towson, MD, 21286-5218
Phone Number
443-685-8565
Fax Number
Provider Enumeration Date
12/23/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
NA 05 MD
institution
Provider Business Practice Location Address Details
Address
28 E Susquehanna Ave Ste 101&102
City
Towson
State
Maryland
Zip
21286-5218
Phone Number
443-685-8565
Fax Number
person
Provider Business Mailing Address Details
Address
28 E Susquehanna Ave Ste 101&102
City
Towson
State
Maryland
Zip
21286-5218
Phone Number
443-685-8565
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
()
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
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