Organization
IMPACT BEHAVIORAL HEALTHCARE LLC
Active
Parent organization
IMPACT BEHAVIORAL HEALTHCARE LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
IMPACT BEHAVIORAL HEALTHCARE LLC
Authorized official
MUHAMMAD AYAZ JARRAL (EXECUTIVE DIRECTOR)
(443) 255-9973
Entity
Organization
Contact information
Practice address
3625 FAIRVIEW AVE, BALTIMORE, MD 21216-1329
(443) 449-5051
Mailing address
3455 WILKENS AVE, BALTIMORE, MD 21229-5213
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
05/20/2024
Last updated
05/20/2024
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