Provider Demographics
NPI:1992128961
Name:HISTORIC EAST BALTIMORE COMMUNITY ACTION COALITION, INC.
Entity type:Organization
Organization Name:HISTORIC EAST BALTIMORE COMMUNITY ACTION COALITION, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ED
Authorized Official - Middle Name:
Authorized Official - Last Name:SABATINO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-524-2800
Mailing Address - Street 1:1212 N WOLFE ST
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21213-3303
Mailing Address - Country:US
Mailing Address - Phone:443-524-2800
Mailing Address - Fax:443-524-2806
Practice Address - Street 1:1212 N WOLFE ST
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21213-3303
Practice Address - Country:US
Practice Address - Phone:443-524-2800
Practice Address - Fax:443-524-2806
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-28
Last Update Date:2014-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health