| Community Outreach Llc | |
|
2300 Garrison Blvd Ste 130 Baltimore MD 21216-2316 | |
| (410) 979-5340 | |
| Not Available |
| Full Name | Community Outreach Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2300 Garrison Blvd Ste 130, Baltimore, Maryland |
| Authorized Official Name and Position | Bernadette Veronica Mark (CEO/DIRECTOR) |
| Authorized Official Contact | 4109795340 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Outreach Llc 3524 Lynne Haven Dr Baltimore MD 21244-3661 Ph: () - | Community Outreach Llc 2300 Garrison Blvd Ste 130 Baltimore MD 21216-2316 Ph: (410) 979-5340 |
| NPI Number | 1619332947 |
|---|---|
| Provider Enumeration Date | 12/31/2015 |
| Last Update Date | 11/28/2022 |
| Certification Date | 11/28/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619332947 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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