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CULTIVATING CHANGE NPI 1558019489


NPI Information

NPI: 1558019489
Provider Name: CULTIVATING CHANGE
Classification: Clinic/Center - 261QR0800X
Entity Type: Organization

Specialization: Recovery Care

Address:
2512 N CHARLES ST FL 1
BALTIMORE, MD
ZIP 21218
Phone: (410) 243-0458
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CULTIVATING CHANGE is a recovery care clinic center in Baltimore, MD. CULTIVATING CHANGE NPI is 1558019489. The provider is registered as an organization entity type.

The provider's business location address is:

2512 N CHARLES ST FL 1
BALTIMORE, MD
ZIP 21218-645
Phone: (410) 243-0458

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

The enumeration date for this NPI number is 3/10/2022 and was last updated on 4/27/2022.


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
1261QR0800XClinic/CenterRecovery CareYes

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

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.