Provider Demographics
NPI:1083257638
Name:PINNACLE CARE RESOURCES CORPORATION
Entity Type:Organization
Organization Name:PINNACLE CARE RESOURCES CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:FESTUS
Authorized Official - Middle Name:
Authorized Official - Last Name:ARAUWOU
Authorized Official - Suffix:
Authorized Official - Credentials:CPA
Authorized Official - Phone:410-254-3910
Mailing Address - Street 1:6306 HARFORD RD
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21214-1349
Mailing Address - Country:US
Mailing Address - Phone:410-254-3910
Mailing Address - Fax:
Practice Address - Street 1:6306 HARFORD RD
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21214-1349
Practice Address - Country:US
Practice Address - Phone:410-254-3910
Practice Address - Fax:410-254-3911
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-25
Last Update Date:2019-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No253Z00000XAgenciesIn Home Supportive Care
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health