Organization
CHARM COUNSELING CENTER
Active
Organization
CHARM COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DARRYL EDWARD BRAXTON LCPC (LICENCE PROFESSIONAL COUNSELOR)
(443) 882-1943
Entity
Organization
Contact information
Practice address
1002 E PATAPSCO AVE, BALTIMORE, MD 21225-2229
(410) 355-3711
Mailing address
4331 PARKTON ST, BALTIMORE, MD 21229-4521
(443) 882-1943
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
LC7034
MD
261QM2800X
Methadone Clinic
LC7034
MD
Other
Enumeration date
04/26/2016
Last updated
04/26/2016
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