Organization
CHANGING TURN COMMUNITY HEALTHCARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAUNNA THOMAS (CEO)
(443) 402-0172
Entity
Organization
Contact information
Practice address
3006 HAMILTON AVE STE 103, BALTIMORE, MD 21214-2634
(443) 708-1461
(443) 708-1655
Mailing address
5438 YORK RD, SUITE 103, BALTIMORE, MD 21212-3842
(443) 708-1461
(443) 708-1655
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MH-1043
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
109103400
—
MD
Enumeration date
03/06/2015
Last updated
08/12/2019
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