BK BEHAVIORAL HEALTH CENTER NPI 1073002762

NPI Information

NPI: 1073002762
Provider Name: BK BEHAVIORAL HEALTH CENTER
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
1805 PENNSYLVANIA AVE.,
SUITE 102
BALTIMORE, MD
ZIP 21217
Phone: (240) 360-2637
Get Directions

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	Primary
1	103TC1900X	Psychologist	Counseling	No
2	261Q00000X	Clinic/Center		No
3	261QR0401X	Clinic/Center	Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)	No
4	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	Yes

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
1	BH000298	MEDICAID	MARYLAND

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

NPI Synchronization or Removal

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.

« Previous NPI

Next NPI »