Organization
CHARM CITY MEDICAL INTENSIVE OUTPATIENT PROGRAM
Active
Parent organization
CHARM CITY MEDICAL CENTER, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHARM CITY MEDICAL CENTER, INC.
Authorized official
DR. DEVESH DHRUVA KANJARPANE MD (CHIEF MEDICAL OFFICER)
(301) 646-3279
Entity
Organization
Contact information
Practice address
2220 REISTERSTOWN RD, BALTIMORE, MD 21217-1928
(301) 675-1296
(443) 535-0773
Mailing address
6041 WINTER GRAIN PATH, CLARKSVILLE, MD 21029-1224
(301) 675-1296
(443) 535-0773
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
07/30/2024
Last updated
09/18/2024
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