| Charm City Health | |
|
4312 Maine Ave Baltimore MD 21207-3406 | |
| (667) 390-0690 | |
| Not Available |
| Full Name | Charm City Health |
|---|---|
| Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
| Location | 4312 Maine Ave, Baltimore, Maryland |
| Authorized Official Name and Position | Ivory Gloria Marvin (CEO) |
| Authorized Official Contact | 4436752036 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Charm City Health 3902 Lausanne Rd Randallstown MD 21133-4512 Ph: (443) 675-2036 | Charm City Health 4312 Maine Ave Baltimore MD 21207-3406 Ph: (667) 390-0690 |
| NPI Number | 1174324115 |
|---|---|
| Provider Enumeration Date | 03/24/2025 |
| Last Update Date | 03/24/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174324115 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| 261QR0405X | Clinic/center - Rehabilitation, Substance Use Disorder | (* (Not Available)) | Primary |
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