Organization
BALTIMORE CRISIS RESPONSE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDGAR K WIGGINS MHS (EXECUTIVE DIRECTOR)
(410) 746-5311
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
D0045540
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
406711800
—
MD
Enumeration date
07/12/2007
Last updated
03/03/2021
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