Organization
BRIDGING GAPS WITH NEW BEGINNING
Active
Parent organization
BALTIMORE AREA COMMUNITY HEALTH SERVICES LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
BALTIMORE AREA COMMUNITY HEALTH SERVICES LLC
Authorized official
MR. CLAY G SANDS MADC. ADT. (EXECUTIVE DIRECTOR)
(240) 237-6071
Entity
Organization
Contact information
Practice address
4128 HAYWARD AVENUE, BALTIMORE, MD 21215-9998
(443) 473-6804
Mailing address
4128 HAYWARD AVE, BALTIMORE, MD 21215-4337
(443) 473-6804
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
906242
MD
Other
Enumeration date
10/24/2016
Last updated
10/24/2016
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