| Impactful Changes | |
|
2235 W Saratoga St Baltimore MD 21223-1509 | |
| (443) 473-3416 | |
| Not Available |
| Full Name | Impactful Changes |
|---|---|
| Speciality | Substance Abuse Rehabilitation Facility |
| Location | 2235 W Saratoga St, Baltimore, Maryland |
| Authorized Official Name and Position | Arika Davenport (CEO) |
| Authorized Official Contact | 4434733416 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Impactful Changes 2235 W Saratoga St Baltimore MD 21223-1509 Ph: (443) 473-3416 | Impactful Changes 2235 W Saratoga St Baltimore MD 21223-1509 Ph: (443) 473-3416 |
| NPI Number | 1124697727 |
|---|---|
| Provider Enumeration Date | 06/18/2021 |
| Last Update Date | 09/06/2023 |
| Certification Date | 09/06/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124697727 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 324500000X | Substance Abuse Rehabilitation Facility | (* (Not Available)) | Primary |
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