Crawford Retreat Inc.

NPI 1093761017 - Intermediate Care Facility, Mental Illness - 310500000X

NPI Details
NPI 1093761017
Enumeration Date 05/25/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 12 years ago
Authorized Information
Name SHARON ANN SHARON
Position ADMINISTRATOR
Phone (410) 566-0160
Fax (410) 566-0160
Practice Location
2117 DENISON ST
BALTIMORE MD, 21216-2601, US
Phone (410) 566-0160
Fax (410) 566-0160
Business Location
2117 DENISON ST
BALTIMORE MD, 21216-2601, US
Phone
Fax
Toxanomy
Taxonomy Code 310500000X
License State Maryland
License Number 30014
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According to our database, Crawford Retreat Inc. NPI is 1093761017, taxonomy code is 310500000X and license number is 30014, license state is located at Maryland. Crawford Retreat Inc. physically located at 2117 Denison St, Baltimore MD, 21216-2601. NPI Number 1033115704 has the healthcare provider type.

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1093761017 NPI number is provided on an as is basis without warranty of any kind. 1093761017 is maintained by the National Plan & Provider Enumeration System. The contents of Crawford Retreat Inc. are for informational purposes only.