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Organization

CMDS RESIDENTIAL, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANDRE L PELEGRINI (VP FINANCE)
(410) 868-5638
Entity
Organization

Contact information

Practice address
6040 HARFORD RD, BALTIMORE, MD 21214-1327
(443) 864-4027
Mailing address
5570 STERRETT PL STE 300, COLUMBIA, MD 21044-2678
(410) 868-5638

Taxonomy

Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary

Other

Enumeration date
04/01/2020
Last updated
04/01/2020
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