Organization
PRIME CARE TRANSFORMATION ORGANIZATION, LLC
Active
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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