Organization
BUILDING BRIDGES OF BALTIMORE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATE SHAMIS (OWNER)
(410) 978-2317
Entity
Organization
Contact information
Practice address
1314 BEDFORD AVE STE 210A, BALTIMORE, MD 21208-6605
(443) 744-8994
Mailing address
500 MAIN ST STE B, REISTERSTOWN, MD 21136-1997
(410) 978-2317
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200409771
BEHAVIORAL HEALTH PRP LICENSE NUMBER
MD
Enumeration date
04/26/2020
Last updated
08/21/2023
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