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Organization
MARYLAND COMMUNITY HEALTH INITIATIVES, INC.
Active
Organization
MARYLAND COMMUNITY HEALTH INITIATIVES, INC.
Active
Other names
Penn North
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM BROOKS (CEO)
(410) 728-2080
Entity
Organization
Contact information
Practice address
2404 PENNSYLVANIA AVE, BALTIMORE, MD 21217-1722
(410) 728-2080
(410) 728-2038
Mailing address
2404 PENNSYLVANIA AVE, BALTIMORE, MD 21217-1722
(410) 728-2080
(410) 728-2038
Taxonomy
Speciality
Code
Description
License number
State
261QR0800X
Recovery Care Clinic/Center
Primary
—
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
404876800
—
MD
Enumeration date
10/21/2016
Last updated
02/28/2020
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