Cmds Community Health, LLC
Clinic/Center, Methadone Clinic in Baltimore, MD. Organization (NPI-2).
NPI number1043965577
StatusActive
Last updated in NPPESFeb 28, 2022
Details
- NPI
- 1043965577
- Entity type
- Organization (NPI-2)
- Legal business name
- Cmds Community Health, LLC
- Organization subpart
- No
- Enumeration date
- Feb 14, 2022
- Certification date
- Feb 28, 2022
- Last updated
- Feb 28, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM2800X | Clinic/Center, Methadone Clinic | – | – | Yes |
Practice location
4448 Park Heights AveBaltimore, MD 21215-6324
Phone 443-864-4027
Mailing address
8115 Maple Lawn Blvd Ste 200Fulton, MD 20759-2684
Phone 141-086-8563
Authorized official
Andre Pelegrini
Director Finance
4106752113
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