# MOSAIC COMMUNITY SERVICES

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255509493
- **Authorized official:** JEFFREY W RICHARDSON LCSW-C (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (410) 453-9553

## Contact information

- **Practice address:** 2225 N CHARLES ST, BALTIMORE, MD 21218-5778
- **Practice address phone:** (410) 366-4360
- **Practice address fax:** (410) 662-8547
- **Mailing address:** 1925 GREENSPRING DR, TIMONIUM, MD 21093-4128
- **Mailing address phone:** (410) 453-9553

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0400X | Rehabilitation Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/11/2008
- **Last updated:** 11/27/2012