IMPACT BEHAVIORAL HEALTHCARE LLC
NPI 1760197826
Substance Abuse Rehabilitation Facility in Baltimore, MD

Active since January 23, 2023
3455 WILKENS AVE STE 205, BALTIMORE, MD 21229(443) 255-9973 Get Directions Write a Review

NPPES record last updated: June 20, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 20, 2023, Feb 7, 2023, Jan 23, 2023 (3 updates tracked since 2023).

About Impact Behavioral Healthcare Llc NPPES

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

IMPACT BEHAVIORAL HEALTHCARE LLC (NPI 1760197826) is a healthcare organization registered as a substance abuse rehabilitation facility in Baltimore, Maryland and active in the NPI registry since January 2023. The organization lists Muhammad Jarral, Coo, as its authorized official.

NPPES Registry Identity

NPI1760197826
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameIMPACT BEHAVIORAL HEALTHCARE LLC
Location Address3455 WILKENS AVE STE 205Baltimore, MD 21229-5265
Mailing Address3455 Wilkens Ave Ste 205Baltimore, MD 21229-5265 · (443) 255-9973
Organization SubpartNo
Authorized OfficialMuhammad JarralCoo · (443) 255-9973
Enumeration DateJanuary 23, 2023
Last NPPES UpdateJune 20, 20233 updates tracked since enumeration
NPPES CertifiedJune 20, 2023
NPI 1760197826 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.

3455 WILKENS AVE STE 205, Baltimore, MD 21229

Other Providers at the Same Location NPPES 3

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

Case Management
3455 WILKENS AVE STE 205
BALTIMORE, MD 21229
Clinic/Center (Mental Health (Including Community Mental Health Center))
3455 WILKENS AVE STE 205
BALTIMORE, MD 21229
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
3455 WILKENS AVE STE 205
BALTIMORE, MD 21229

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1760197826, enumerated as an "organization" on January 23, 2023.

The provider is located at 3455 WILKENS AVE STE 205 BALTIMORE, MD 21229 and the phone number is (443) 255-9973.

Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.