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Organization
CULTIVATING CHANGE
Active
Organization
CULTIVATING CHANGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DELORA WALKER (CHIEF EXECUTIVE OFFICER)
(410) 493-3372
Entity
Organization
Contact information
Practice address
2512 N CHARLES ST FL 1, BALTIMORE, MD 21218-4645
(410) 243-0458
Mailing address
2512 N CHARLES ST, BALTIMORE, MD 21218-4645
(410) 243-0458
Taxonomy
Speciality
Code
Description
License number
State
261QR0800X
Recovery Care Clinic/Center
Primary
—
—
Other
Enumeration date
03/10/2022
Last updated
04/27/2022
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