| Charm City Medical Intensive Outpatient Program | |
|
2220 Reisterstown Rd Baltimore MD 21217-1928 | |
| (301) 675-1296 | |
| (443) 535-0773 |
| Full Name | Charm City Medical Intensive Outpatient Program |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2220 Reisterstown Rd, Baltimore, Maryland |
| Authorized Official Name and Position | Devesh Dhruva Kanjarpane (CHIEF MEDICAL OFFICER) |
| Authorized Official Contact | 3016463279 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Charm City Medical Intensive Outpatient Program 6041 Winter Grain Path Clarksville MD 21029-1224 Ph: (301) 675-1296 | Charm City Medical Intensive Outpatient Program 2220 Reisterstown Rd Baltimore MD 21217-1928 Ph: (301) 675-1296 |
| NPI Number | 1619706462 |
|---|---|
| Provider Enumeration Date | 07/30/2024 |
| Last Update Date | 09/18/2024 |
| Certification Date | 09/18/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619706462 | NPI | - | NPPES |
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