Organization
COMMUNITY CARE CENTER CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL M ROGERS (BOARD MEMBER)
(410) 870-5483
Entity
Organization
Contact information
Practice address
1216 E BALTIMORE ST, ATTN: COMMUNITY CARE CENTER, BALTIMORE, MD 21202-4710
(410) 870-5483
Mailing address
1216 E BALTIMORE ST, ATTN: COMMUNITY CARE CENTER, BALTIMORE, MD 21202-4710
(410) 870-5483
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
06/13/2012
Last updated
11/23/2012
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