Organization
CHANGE REACTION BALTIMORE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVON NEWTON (OWNER)
(443) 204-3181
Entity
Organization
Contact information
Practice address
1111 PARK AVE STE L111, BALTIMORE, MD 21201-5695
(443) 204-3181
Mailing address
1111 PARK AVE STE L111, BALTIMORE, MD 21201-5695
(443) 204-3181
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/31/2022
Last updated
03/27/2024
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