Organization
CMDS RESIDENTIAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN KARL PFEFFER (OWNER)
(240) 447-6870
Entity
Organization
Contact information
Practice address
15 S FULTON AVE, BALTIMORE, MD 21223-2306
(410) 868-5638
Mailing address
5307 AERIE CT, CLARKSVILLE, MD 21029-1103
(240) 447-6870
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
04/02/2020
Last updated
01/09/2025
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