| Citywide Community Resources Corporation | |
|
17 Warren Road Suite 20b, Room 7 Pikesville MD 21208 | |
| (410) 929-2314 | |
| (410) 484-8107 |
| Full Name | Citywide Community Resources Corporation |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 17 Warren Road Suite 20b, Room 7, Pikesville, Maryland |
| Authorized Official Name and Position | Pamela Johnson (FOUNDER/ CEO) |
| Authorized Official Contact | 4102748388 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Citywide Community Resources Corporation 17 Warren Road Suite 20b, Room 7 Pikesville MD 21208 Ph: (410) 929-2314 | Citywide Community Resources Corporation 17 Warren Road Suite 20b, Room 7 Pikesville MD 21208 Ph: (410) 929-2314 |
| NPI Number | 1487292017 |
|---|---|
| Provider Enumeration Date | 12/13/2019 |
| Last Update Date | 12/13/2019 |
| Certification Date | 12/13/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487292017 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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