Change Reaction Baltimore
Community/Behavioral Health in Baltimore, MD. Organization (NPI-2).
NPI number1760102685
StatusActive
Last updated in NPPESMar 27, 2024
Details
- NPI
- 1760102685
- Entity type
- Organization (NPI-2)
- Legal business name
- Change Reaction Baltimore
- Organization subpart
- No
- Enumeration date
- Aug 31, 2022
- Certification date
- Mar 21, 2024
- Last updated
- Mar 27, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
Practice location
1111 Park Ave Ste L111Baltimore, MD 21201-5695
Phone 443-204-3181
Mailing address
1111 Park Ave Ste L111Baltimore, MD 21201-5695
Phone 443-204-3181
Authorized official
Davon Newton
Owner
4432043181
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All 890 Community/Behavioral Health Agency providers in Baltimore · All 45,752 providers in Baltimore
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