Organization
SAR SHALOM HOLDINGS LLC
Active
Other names
Charm City Autism
Organization subpart
No
Provider details
NPI number
Authorized official
CHANA POUPKO BCBA (BEHAVIORAL ANALYST)
(443) 803-5582
Entity
Organization
Contact information
Practice address
6300 PARK HEIGHTS AVENUE, BALTIMORE, MD 21215
(443) 803-5582
Mailing address
3601 GREENWAY STE 110, BALTIMORE, MD 21218-2438
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
09/30/2025
Last updated
09/30/2025
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