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THE COMMUNITY RESOURCE CENTERLLC. NPI 1619448008


NPI Information

NPI: 1619448008
Provider Name: THE COMMUNITY RESOURCE CENTER,LLC.
Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

Address:
4601 PARK HEIGHTS AVE
BALTIMORE, MD
ZIP 21215
Phone: (443) 473-6804
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THE COMMUNITY RESOURCE CENTER,LLC. is an addiction (substance use disorder) counselor in Baltimore, MD. THE COMMUNITY RESOURCE CENTER,LLC. NPI is 1619448008. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4601 PARK HEIGHTS AVE
BALTIMORE, MD
ZIP 21215-331
Phone: (443) 473-6804

The provider's authorized official is Delores King .
The authorized official title is Executive Director and has the following contact phone number (443) 473-6804.

The enumeration date for this NPI number is 12/10/2018 and was last updated on 12/10/2018.


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
1101YA0400XCounselorAddiction (Substance Use Disorder)Yes

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

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