Organization
THE COMMUNITY RESOURCE CENTER,LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DELORES KING MADC. ADT. (EXECUTIVE DIRECTOR)
(443) 473-6804
Entity
Organization
Contact information
Practice address
4601 PARK HEIGHTS AVE, BALTIMORE, MD 21215-6331
(443) 473-6804
Mailing address
4601 PARK HEIGHTS AVE, BALTIMORE, MD 21215-6331
(443) 473-6804
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
12/10/2018
Last updated
12/10/2018
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