Provider Demographics
NPI:1215589940
Name:HARFORD CRISIS CENTER, INC.
Entity Type:Organization
Organization Name:HARFORD CRISIS CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF FINANCE
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:FATKIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-643-3464
Mailing Address - Street 1:520 UPPER CHESAPEAKE DR STE 405
Mailing Address - Street 2:
Mailing Address - City:BEL AIR
Mailing Address - State:MD
Mailing Address - Zip Code:21014-4381
Mailing Address - Country:US
Mailing Address - Phone:443-643-3464
Mailing Address - Fax:443-643-3343
Practice Address - Street 1:802 BALTIMORE PIKE STE A
Practice Address - Street 2:
Practice Address - City:BEL AIR
Practice Address - State:MD
Practice Address - Zip Code:21014-4212
Practice Address - Country:US
Practice Address - Phone:443-643-2422
Practice Address - Fax:410-638-5260
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-12
Last Update Date:2019-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty