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CULTIVATING CHANGE NPI 1093458051


NPI Information

NPI: 1093458051
Provider Name: CULTIVATING CHANGE

Doing Business As: CULTIVATING CHANGE

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
2512 N. CHARLES STREET
1ST FLOOR/B
BALTIMORE, MD
ZIP 21218
Phone: (410) 493-3372
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CULTIVATING CHANGE is a clinic center in Baltimore, MD. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). CULTIVATING CHANGE NPI is 1093458051. The provider is registered as an organization entity type.
The provider Is Doing Business As Cultivating Change.

The provider's business location address is:

2512 N. CHARLES STREET
1ST FLOOR/B
BALTIMORE, MD
ZIP 21218-645
Phone: (410) 493-3372

The provider's authorized official is Delora Walker .
The authorized official title is Executive Director and has the following contact phone number (410) 493-3372.

The enumeration date for this NPI number is 4/18/2022 and was last updated on 6/28/2022.


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
1261Q00000XClinic/CenterYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11558019489MEDICAIDMARYLAND

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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