Organization
MARYLAND COMMUNITY HEALTH INITIATIVES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM BROOKS (CEO)
(410) 728-2080
Entity
Organization
Contact information
Practice address
1711 EDMONDSON AVE, BALTIMORE, MD 21223-1220
(410) 728-2080
(410) 728-2038
Mailing address
2410 PENNSYLVANIA AVE, BALTIMORE, MD 21217-1722
(410) 728-2080
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
11/10/2021
Last updated
11/10/2021
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