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Organization

COMMUNITY OUTREACH LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BERNADETTE VERONICA MARK LGSW (CEO/DIRECTOR)
(410) 979-5340
Entity
Organization

Contact information

Practice address
2300 GARRISON BLVD STE 130, BALTIMORE, MD 21216-2316
(410) 979-5340
Mailing address
3524 LYNNE HAVEN DR, BALTIMORE, MD 21244-3661

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
12/31/2015
Last updated
11/28/2022
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  • EDI platform