# CONCERTED CARE GROUP BALTIMORE SUBSTANCE USE SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CCG MANAGEMENT LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1235520420
- **Legal business name:** CCG MANAGEMENT LLC
- **Authorized official:** KEONNA ARMSTRONG (VP OF REVENUE CYCLE MANAGEMENT)
- **Authorized official phone:** (240) 813-9867

## Contact information

- **Practice address:** 428 E 25TH ST, BALTIMORE, MD 21218-5304
- **Practice address phone:** (240) 813-9867
- **Mailing address:** 428 E 25TH ST, BALTIMORE, MD 21218-5304
- **Mailing address phone:** (240) 813-9867

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | 251B00000X | MD | Yes |

## Other

- **Enumeration date:** 02/10/2015
- **Last updated:** 08/20/2024