EAST BALTIMORE COMMUNITY CORPORATION / REFLECTIVE TREATMENT CENTER NPI 1194796615

NPI Information

EAST BALTIMORE COMMUNITY CORPORATION / REFLECTIVE TREATMENT CENTER is an addiction (substance use disorder) counselor in Baltimore, MD. EAST BALTIMORE COMMUNITY CORPORATION / REFLECTIVE TREATMENT CENTER NPI is 1194796615. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

301 N GAY ST
BALTIMORE, MD
ZIP 21202-831
Phone: (410) 752-3500
Fax: (410) 528-1005

The provider's authorized official is Muriel V. Brothers .
The authorized official title is Program Administrator and has the following contact phone number (410) 727-7400.

The CLIA number assigned to this NPI record is 21D0887328 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 2/1/2006 and was last updated on 3/19/2015.

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:

Other Identifiers

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