Provider Demographics
NPI:1992133383
Name:TIME ORGANIZATION, LLC
Entity type:Organization
Organization Name:TIME ORGANIZATION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:C.O.O.
Authorized Official - Prefix:
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:TRACY
Authorized Official - Last Name:COLLINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-225-0062
Mailing Address - Street 1:2901 DRUID PARK DR
Mailing Address - Street 2:A202
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21215-8102
Mailing Address - Country:US
Mailing Address - Phone:410-225-0062
Mailing Address - Fax:410-225-0184
Practice Address - Street 1:2506 SAINT PAUL ST
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21218-4609
Practice Address - Country:US
Practice Address - Phone:410-225-0062
Practice Address - Fax:410-225-0184
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-22
Last Update Date:2013-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health