Provider Demographics
NPI:1902695166
Name:CARDINAL COMMUNITY SERVICES, CORP.
Entity type:Organization
Organization Name:CARDINAL COMMUNITY SERVICES, CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:KIM
Authorized Official - Middle Name:
Authorized Official - Last Name:SINGLETON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-410-4381
Mailing Address - Street 1:102 6TH AVE NE STE B
Mailing Address - Street 2:
Mailing Address - City:GLEN BURNIE
Mailing Address - State:MD
Mailing Address - Zip Code:21060-6869
Mailing Address - Country:US
Mailing Address - Phone:443-410-4381
Mailing Address - Fax:443-354-1830
Practice Address - Street 1:102 6TH AVE NE STE B
Practice Address - Street 2:
Practice Address - City:GLEN BURNIE
Practice Address - State:MD
Practice Address - Zip Code:21060-6869
Practice Address - Country:US
Practice Address - Phone:443-410-4381
Practice Address - Fax:443-354-1830
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-05
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health