Organization
IMPACT BEHAVIORAL HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MUHAMMAD AYAZ JARRAL (CEO)
(443) 255-9973
Entity
Organization
Contact information
Practice address
3618 W FOREST PARK AVE, BALTIMORE, MD 21216-1333
(443) 449-5051
Mailing address
3455 WILKENS AVE STE 205, BALTIMORE, MD 21229-5265
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
01/25/2024
Last updated
01/25/2024
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