BALTIMORE COMMUNITY RESOURCE CENTER, INC
NPI 1558620708
Substance Abuse Rehabilitation Facility in Baltimore, MD

Active since May 09, 2012
3623 PARKDALE AVE, BALTIMORE, MD 21211(410) 366-1717(410) 889-4167 Get Directions Write a Review

NPPES record last updated: May 9, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Baltimore Community Resource Center, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BALTIMORE COMMUNITY RESOURCE CENTER, INC (NPI 1558620708) is a healthcare organization registered as a substance abuse rehabilitation facility in Baltimore, Maryland and active in the NPI registry since May 2012. The organization lists Robin Woodell, Director, as its authorized official.

NPPES Registry Identity

NPI1558620708
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameBALTIMORE COMMUNITY RESOURCE CENTER, INC
Location Address3623 PARKDALE AVEBaltimore, MD 21211-1326
Mailing Address21 W 25th StBaltimore, MD 21218-5003 · (410) 366-1717 · Fax (410) 889-4167
Fax(410) 889-4167
Organization SubpartNo
Authorized OfficialRobin WoodellDirector · (410) 366-1717
Enumeration DateMay 9, 2012
NPI 1558620708 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
License Licensed in MD · 903995
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
3623 PARKDALE AVE, Baltimore, MD 21211

Other Identifiers 1

Medicaid417128400MD

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Baltimore Community Resource Center, Inc's NPI number?

The NPI number for Baltimore Community Resource Center, Inc is 1558620708. It was assigned to this organization in the NPPES registry on May 9, 2012.

Where is Baltimore Community Resource Center, Inc located?

Baltimore Community Resource Center, Inc is located at 3623 Parkdale Ave, Baltimore, MD 21211. The listed phone number is (410) 366-1717.

What is Baltimore Community Resource Center, Inc's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for Baltimore Community Resource Center, Inc was last updated on May 9, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.