Organization
CMDS RESIDENTIAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDRE PELEGRINI (DIR FINANCE)
(443) 864-4027
Entity
Organization
Contact information
Practice address
6040 HARFORD RD, BALTIMORE, MD 21214-1327
(443) 864-4027
Mailing address
5570 STERRETT PL STE 300, COLUMBIA, MD 21044-2678
(443) 864-4027
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/17/2019
Last updated
01/03/2020
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