Provider Demographics
NPI:1073864229
Name:PASSIONATE HANDS TRANSITIONAL HOUSING
Entity Type:Organization
Organization Name:PASSIONATE HANDS TRANSITIONAL HOUSING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:YOLANDA
Authorized Official - Middle Name:A
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-982-2242
Mailing Address - Street 1:4711 LIBERTY HEIGHTS AVE
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21207-7155
Mailing Address - Country:US
Mailing Address - Phone:410-982-2242
Mailing Address - Fax:
Practice Address - Street 1:4711 LIBERTY HEIGHTS AVE FL 2
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21207-7155
Practice Address - Country:US
Practice Address - Phone:410-982-2422
Practice Address - Fax:410-466-7002
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-27
Last Update Date:2021-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility
No253Z00000XAgenciesIn Home Supportive Care