1881436350 NPI number — BALTIMORE CRISIS RESPONSE, INC.

Table of content: (NPI 1881436350)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1881436350 NPI number — BALTIMORE CRISIS RESPONSE, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
BALTIMORE CRISIS RESPONSE, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1881436350
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/06/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5124 GREENWICH AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BALTIMORE
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
21229-2314
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
443-986-0822
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1301 YORK RD STE 603
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LUTHERVILLE TIMONIUM
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21093-6009
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-433-5255
Provider Business Practice Location Address Fax Number:
410-433-6795
Provider Enumeration Date:
06/06/2024

Additional Information

Authorized Official

Authorized Official Last Name:
SHAW-WILSON
Authorized Official First Name:
CINDY
Authorized Official Middle Name:
ANN
Authorized Official Title or Position:
QUALITY ASSURANCE & COMPLIANCE SPEC
Authorized Official Telephone Number:
443-986-0822

Provider Taxonomy Codes

  • Taxonomy code: 251S00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com