Organization
CHANGING TURN COMMUNITY HEALTHCARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAUNNA THOMAS (CEO)
(443) 402-0172
Entity
Organization
Contact information
Practice address
3006 HAMILTON AVE, BALTIMORE, MD 21214-2634
(443) 708-1461
Mailing address
500 EDGEWOOD RD STE 210, EDGEWOOD, MD 21040-2734
(443) 402-0172
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BH001635
LICENSE
MD
Enumeration date
08/14/2019
Last updated
08/14/2019
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