Organization
CONCERTED CARE GROUP BROOKLYN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEONNA ARMSTRONG (VP OF CYCLE MANAGEMENT)
(240) 813-9867
Entity
Organization
Contact information
Practice address
112 E PATAPSCO AVE, BALTIMORE, MD 21225-1745
(240) 813-9867
Mailing address
428 E 25TH ST, BALTIMORE, MD 21218-5304
(240) 813-9867
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
MD-10167M
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD-10167M
DHMH CERTIFICATION
MD
Enumeration date
09/01/2017
Last updated
08/20/2024
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