Organization
PRIME CARE TRANSFORMATION ORGANIZATION, LLC
Active
Other names
Prime CTO
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHAUNTE FRANCINE HARRIS PHARMD (EXECUTIVE DIRECTOR)
(410) 237-6904
Entity
Organization
Contact information
Practice address
9649 BELAIR RD STE 202, BALTIMORE, MD 21236-1116
(410) 237-6904
(410) 237-6912
Mailing address
9649 BELAIR RD STE 202, BALTIMORE, MD 21236-1116
(410) 237-6904
(410) 237-6912
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
163WC0400X
Case Management Registered Nurse
—
—
207R00000X
Internal Medicine Physician
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261Q00000X
Clinic/Center
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
Primary
—
—
333600000X
Pharmacy
—
—
405300000X
Prevention Professional
—
—
Other
Enumeration date
04/19/2023
Last updated
04/19/2023
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