BALTIMORE COMMUNITY RESOURCE CENTER, INC – NPI #1508125881
Substance Abuse Rehabilitation Facility

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

BALTIMORE COMMUNITY RESOURCE CENTER, INC is a substance abuse rehabilitation facility located in BALTIMORE, MD. NPPES has assigned the NPI number 1508125881 to BALTIMORE COMMUNITY RESOURCE CENTER, INC on May 08, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 324500000X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BALTIMORE COMMUNITY RESOURCE CENTER, INC below.

NPI Profile for
BALTIMORE COMMUNITY RESOURCE CENTER, INC

NPI Number
1508125881
Enumeration Date

(more than 14 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BALTIMORE COMMUNITY RESOURCE CENTER, INC
Primary location
1706 E 33RD ST
BALTIMORE, MD 21218-3710
Phone: (410) 467-0460 Fax: (410) 889-4167
Mailing address
21 W 25TH ST
BALTIMORE, MD 21218-5003
Phone: (410) 366-1717 Fax: (410) 889-4167
Organization Subpart
No
Authorized Official
ROBIN WOODELL
DIRECTOR
Phone: (410) 366-1717
Updated
Identifiers

Identifiers for BALTIMORE COMMUNITY RESOURCE CENTER, INC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDMD417128400
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
324500000X
- Substance Abuse Rehabilitation Facility (Primary)
MD 903994

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.