Organization
SOUTH BALTIMORE C.A.P. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KAREN KEMP MHS, CSC-AD (VICE PRESIDENT)
(301) 356-8455
Entity
Organization
Contact information
Practice address
7 W RANDALL ST, BALTIMORE, MD 21230-4429
(410) 385-1466
(410) 385-1466
Mailing address
16509 ELDBRIDGE LN, BOWIE, MD 20716-7360
(301) 356-8455
(410) 752-4772
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4184084-00
—
MD
Enumeration date
07/27/2017
Last updated
03/17/2018
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