Building Bridges Of Baltimore, Llc | |
1314 Bedford Ave Ste 210a Baltimore MD 21208-6605 | |
(443) 744-8994 | |
Not Available |
Full Name | Building Bridges Of Baltimore, Llc |
---|---|
Speciality | Community/behavioral Health |
Location | 1314 Bedford Ave Ste 210a, Baltimore, Maryland |
Authorized Official Name and Position | Kate Shamis (OWNER) |
Authorized Official Contact | 4109782317 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Building Bridges Of Baltimore, Llc 500 Main St Ste B Reisterstown MD 21136-1997 Ph: (410) 978-2317 | Building Bridges Of Baltimore, Llc 1314 Bedford Ave Ste 210a Baltimore MD 21208-6605 Ph: (443) 744-8994 |
NPI Number | 1992325302 |
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Provider Enumeration Date | 04/26/2020 |
Last Update Date | 08/21/2023 |
Certification Date | 08/21/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1992325302 | NPI | - | NPPES |
200409771 | Other | MD | BEHAVIORAL HEALTH PRP LICENSE NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
261QR0405X | Clinic/center - Rehabilitation, Substance Use Disorder | (* (Not Available)) | Secondary |
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