INSPIRING CHANGE COMMUNITY OUTREACH CENTER
NPI 1679142657
Substance Abuse Rehabilitation Facility in Baltimore, MD

Active since June 23, 2021
1122 N FULTON AVE, BALTIMORE, MD 21217(410) 699-3738 Get Directions Write a Review

NPPES record last updated: October 4, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Oct 4, 2022, Jun 23, 2021 (2 updates tracked since 2021).

About Inspiring Change Community Outreach Center NPPES

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

INSPIRING CHANGE COMMUNITY OUTREACH CENTER (NPI 1679142657) is a healthcare organization registered as a substance abuse rehabilitation facility in Baltimore, Maryland and active in the NPI registry since June 2021. The organization lists Shaquanna Foster-dotson, Social Worker, as its authorized official.

NPPES Registry Identity

NPI1679142657
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameINSPIRING CHANGE MENTAL HEALTH SERVICES, LLC.
Location Address1122 N FULTON AVEBaltimore, MD 21217-1505
Mailing Address4654 York Rd Ste 1Baltimore, MD 21212-4726 · (410) 258-6714
Organization SubpartNo
Authorized OfficialShaquanna Foster-dotsonSocial Worker · (410) 258-6714
Enumeration DateJune 23, 2021
Last NPPES UpdateOctober 4, 20222 updates tracked since enumeration
NPPES CertifiedOctober 4, 2022
NPI 1679142657 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
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.
1122 N FULTON AVE, Baltimore, MD 21217

Other Names 1

Doing Business AsInspiring Change Community Outreach Center

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Substance Abuse Rehabilitation Facility
1122 N FULTON AVE
BALTIMORE, MD 21217

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 Inspiring Change Mental Health Services, LLC.'s NPI number?

The NPI number for Inspiring Change Mental Health Services, LLC. is 1679142657. It was assigned to this organization in the NPPES registry on June 23, 2021. The provider is doing business as Inspiring Change Community Outreach Center.

Where is Inspiring Change Mental Health Services, LLC. located?

Inspiring Change Mental Health Services, LLC. is located at 1122 N Fulton Ave, Baltimore, MD 21217. The listed phone number is (410) 699-3738.

What is Inspiring Change Mental Health Services, LLC.'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 Inspiring Change Mental Health Services, LLC. was last updated on October 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.