Organization
BALTIMORE CRISIS RESPONSE ,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDGAR WIGGINS M.H.S. (EXECUTIVE DIRECTOR)
(410) 433-5255
Entity
Organization
Contact information
Practice address
5124 GREENWICH AVE, BALTIMORE, MD 21229-2314
(410) 433-5255
(410) 433-6795
Mailing address
5124 GREENWICH AVE, BALTIMORE, MD 21229-2314
(410) 433-5255
(410) 433-6795
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
12650
MD
324500000X
Substance Abuse Rehabilitation Facility
11688
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
406711800
—
MD
Enumeration date
11/09/2005
Last updated
03/04/2021
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