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IMPACTFUL CHANGES NPI 1124697727


NPI Information

NPI: 1124697727
Provider Name: IMPACTFUL CHANGES
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
2235 W SARATOGA ST
BALTIMORE, MD
ZIP 21223
Phone: (443) 473-3416
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IMPACTFUL CHANGES is a substance abuse rehabilitation facility in Baltimore, MD. The provider is 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. IMPACTFUL CHANGES NPI is 1124697727. The provider is registered as an organization entity type.

The provider's business location address is:

2235 W SARATOGA ST
BALTIMORE, MD
ZIP 21223-509
Phone: (443) 473-3416

The provider's authorized official is Arika Davenport .
The authorized official title is Ceo and has the following contact phone number (443) 473-3416.

The enumeration date for this NPI number is 6/18/2021 and was last updated on 9/6/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251S00000XCommunity/Behavioral HealthNo
2324500000XSubstance Abuse Rehabilitation FacilityYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.