| Community Residences, Inc | |
|
7477 Baltimore Annapolis Blvd Suite 203 Glen Burnie MD 21061-3504 | |
| (410) 760-2250 | |
| (410) 760-6670 |
| Full Name | Community Residences, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 7477 Baltimore Annapolis Blvd, Glen Burnie, Maryland |
| Authorized Official Name and Position | Terry Hurley (VP OF OPERATIONS, CFO) |
| Authorized Official Contact | 7038422300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Residences, Inc 14160 Newbrook Dr Suite 100 Chantilly VA 20151-2297 Ph: (703) 842-2300 | Community Residences, Inc 7477 Baltimore Annapolis Blvd Suite 203 Glen Burnie MD 21061-3504 Ph: (410) 760-2250 |
| NPI Number | 1588062830 |
|---|---|
| Provider Enumeration Date | 12/18/2014 |
| Last Update Date | 12/18/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588062830 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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