Organization
SOUTH BALTIMORE C.A.P.
Active
Other names
safe house
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHIRLEY ROSE CCDC (EXECUTIVE DIRECTOR)
(410) 385-1466
Entity
Organization
Contact information
Practice address
1435 S HANOVER ST, BALTIMORE, MD 21230-4438
(410) 385-1466
(410) 385-1466
Mailing address
7 W RANDALL ST, BALTIMORE, MD 21230-4429
(410) 385-1466
(410) 385-1466
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
903613
MD
Other
Enumeration date
10/13/2009
Last updated
10/13/2009
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