Organization
CORE FAMILY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY WHITE CRNP MH (PROVIDER)
(410) 801-2233
Entity
Organization
Contact information
Practice address
4711 FREDERICK AVE, BALTIMORE, MD 21229-4035
(410) 801-2233
Mailing address
1800 N CHARLES ST STE 406, BALTIMORE, MD 21201-5909
(410) 801-2233
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
02/19/2022
Last updated
07/20/2023
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