Organization
INSPIRING CHANGE MENTAL HEALTH SERVICES, LLC.
Active
Other names
Inspiring Change Community Outreach Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHAQUANNA FOSTER-DOTSON LCSW-C (SOCIAL WORKER)
(410) 258-6714
Entity
Organization
Contact information
Practice address
1122 N FULTON AVE, BALTIMORE, MD 21217-1505
(410) 699-3738
Mailing address
4654 YORK RD STE 1, BALTIMORE, MD 21212-4726
(410) 258-6714
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
06/23/2021
Last updated
10/04/2022
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