Organization
ON THE FLIP SIDE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS KEAH CROSBY LCSW-C, CCM (CEO)
(410) 831-2138
Entity
Organization
Contact information
Practice address
3739 WILKENS AVE, BALTIMORE, MD 21229-5035
(410) 831-2138
Mailing address
PO BOX 32633, BALTIMORE, MD 21282-2633
(410) 831-2138
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
16681
MD
251B00000X
Case Management Agency
Primary
4221133
MD
251S00000X
Community/Behavioral Health Agency
16681
MD
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
03/02/2017
Last updated
03/02/2017
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