Provider Demographics
NPI:1386486843
Name:BALTIMORE CRISIS RESPONSE,INC
Entity type:Organization
Organization Name:BALTIMORE CRISIS RESPONSE,INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:QUALITY ASSURANCE & COMPLIANCE SPEC
Authorized Official - Prefix:
Authorized Official - First Name:CINDY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:SHAW-WILSON
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:443-986-0822
Mailing Address - Street 1:6610 TRIBUTARY ST STE 103
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21224-6514
Mailing Address - Country:US
Mailing Address - Phone:410-433-5255
Mailing Address - Fax:410-433-6795
Practice Address - Street 1:6610 TRIBUTARY ST STE 103
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21224-6514
Practice Address - Country:US
Practice Address - Phone:410-433-5255
Practice Address - Fax:410-433-6795
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-06
Last Update Date:2024-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health