Organization
CHARM CITY RECOVERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DESIREE MOUNTAIN (COMPLIANCE OFFICER)
(443) 204-5800
Entity
Organization
Contact information
Practice address
6010-6020 MARJORIE LANE, BALTIMORE, MD 21212
(443) 204-5800
Mailing address
1100 BUSINESS PKWY S UNIT A, WESTMINSTER, MD 21157-3048
(443) 204-5800
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
03/24/2022
Last updated
03/24/2022
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