# MOSAIC COMMUNITY SERVICES, INC.

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

## Provider details

- **NPI number:** 1366815169
- **Authorized official:** JEFF RICHARDSON LCSW-C (CEO)
- **Authorized official phone:** (410) 453-9553

## Contact information

- **Practice address:** 2225 N CHARLES ST, BALTIMORE, MD 21218-5778
- **Practice address phone:** (410) 466-8277
- **Practice address fax:** (443) 612-1488
- **Mailing address:** 1925 GREENSPRING DR, TIMONIUM, MD 21093-4128
- **Mailing address phone:** (410) 453-9553
- **Mailing address fax:** (443) 612-1488

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0401X | Comprehensive Outpatient Rehabilitation Facility (CORF) | MH-1276 | MD | Yes |

## Other

- **Enumeration date:** 11/03/2015
- **Last updated:** 11/03/2015