Provider Demographics
NPI:1386046431
Name:KARINA ASSOCIATION INC.
Entity type:Organization
Organization Name:KARINA ASSOCIATION INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:BILIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:BORIMETCHKOVA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-928-0542
Mailing Address - Street 1:11911 JENIFER RD
Mailing Address - Street 2:
Mailing Address - City:TIMONIUM
Mailing Address - State:MD
Mailing Address - Zip Code:21093-7473
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:11911 JENIFER RD
Practice Address - Street 2:
Practice Address - City:TIMONIUM
Practice Address - State:MD
Practice Address - Zip Code:21093-7473
Practice Address - Country:US
Practice Address - Phone:443-928-0542
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-19
Last Update Date:2016-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC4125251S00000X
251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD252005200Medicaid
MD1659771491Medicaid