BK BEHAVIORAL HEALTH CENTER NPI 1073002762

NPI Information

  • NPI: 1073002762
  • Provider Name: BK BEHAVIORAL HEALTH CENTER
  • Classification: Clinic/Center - 261QR0405X
  • Specialization: Rehabilitation, Substance Use Disorder
  • Entity Type: Organization
  • Address: 1805 PENNSYLVANIA AVE.,
    SUITE 102
    BALTIMORE, MD
    ZIP 21217
  • Phone: (240) 360-2637

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NPI Details

BK BEHAVIORAL HEALTH CENTER is a rehabilitation and substance use disorder clinic center in Baltimore, MD. BK BEHAVIORAL HEALTH CENTER NPI is 1073002762. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1805 PENNSYLVANIA AVE.,
SUITE 102
BALTIMORE, MD
ZIP 21217-958
Phone: (240) 360-2637
Fax: (240) 360-2647

The provider's authorized official is Bernadette S Kamara .
The authorized official title is President/ceo and has the following contact phone number (301) 346-4687.

The enumeration date for this NPI number is 5/8/2018 and was last updated on 4/11/2019.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103TC1900XPsychologistCounselingNo
2261Q00000XClinic/CenterNo
3261QR0401XClinic/CenterRehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)No
4261QR0405XClinic/CenterRehabilitation, Substance Use DisorderYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1BH000298MEDICAIDMARYLAND

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: 11/21/2025

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