Provider Demographics
NPI:1467901454
Name:COMMUNITY BRIDGE BUILDERS INC
Entity Type:Organization
Organization Name:COMMUNITY BRIDGE BUILDERS INC
Other - Org Name:CBB INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FOUNDER & CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:LLOYD
Authorized Official - Last Name:MAITH
Authorized Official - Suffix:SR
Authorized Official - Credentials:LGSW
Authorized Official - Phone:443-885-9173
Mailing Address - Street 1:PO BOX 66411
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21239-6411
Mailing Address - Country:US
Mailing Address - Phone:443-885-9173
Mailing Address - Fax:443-885-9174
Practice Address - Street 1:5900 YORK RD
Practice Address - Street 2:SUITE 206
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21212-3041
Practice Address - Country:US
Practice Address - Phone:443-885-9173
Practice Address - Fax:443-885-9174
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-02
Last Update Date:2016-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable