Provider First Line Business Practice Location Address:
COMMUNITY BRIDGE BUILDERS OF MARYLAND LLC
Provider Second Line Business Practice Location Address:
5900 YORK ROAD, SUITE 206
Provider Business Practice Location Address City Name:
BALTIMORE
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21212-3041
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
443-885-9173
Provider Business Practice Location Address Fax Number:
443-885-9174
Provider Enumeration Date:
11/10/2015