Organization
PEAKE EMPOWERMENT COMMUNITY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CRAIG WHITE (PRESIDENT)
(301) 383-3331
Entity
Organization
Contact information
Practice address
2449 SHIRLEY AVE, BALTIMORE, MD 21215-7015
(301) 383-3331
Mailing address
2449 SHIRLEY AVE, BALTIMORE, MD 21215-7015
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
174200000X
Meals Provider
—
—
177F00000X
Lodging Provider
—
—
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261Q00000X
Clinic/Center
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QC1800X
Corporate Health Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
Primary
—
—
261QM1100X
Military/U.S. Coast Guard Outpatient Clinic/Center
—
—
261QP3300X
Pain Clinic/Center
—
—
Other
Enumeration date
09/27/2021
Last updated
09/27/2021
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