Baltimore Community Resource Center, Inc

LBN: Baltimore Community Resource Center, Inc
Baltimore Community Resource Center, Inc is an health care organization with primary practice located at 3623 Parkdale Ave , Baltimore MD 21211-1326. The organization recently has only one registered license in Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, which is considered as the primary health care specialty. Baltimore Community Resource Center, Inc can be contacted via phone (410) 366-1717, or through Woodell, Robin via phone (410) 366-1717.

Contact Information

Primary practice address
3623 Parkdale Ave Baltimore MD 21211-1326
Phone: (410) 366-1717
Fax: (410) 889-4167
Website:
Map and Directions
Authorized official contact:
Name: Woodell, Robin
Phone: (410) 366-1717

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X 903995 Maryland

Profile Details

NPI number 1558620708
LBN Legal business name Baltimore Community Resource Center, Inc
DBA Doing business as
Authorized official Woodell, Robin
Entity Organization
Organization subpart 1 No
Enumeration date May 9th, 2012
Last updated May 9th, 2012 - about 14 years ago

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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Identifiers

StateTypeNumberIssuer
All States NPI 1558620708 NPPES
Maryland MEDICAID 417128400

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