Provider Demographics
NPI:1528598034
Name:BALTIMORE CRISIS RESPONSE, INC.
Entity Type:Organization
Organization Name:BALTIMORE CRISIS RESPONSE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:MCINTYRE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-433-5255
Mailing Address - Street 1:5124 GREENWICH AVE
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21229-2314
Mailing Address - Country:US
Mailing Address - Phone:410-433-5255
Mailing Address - Fax:410-422-6795
Practice Address - Street 1:5124 GREENWICH AVE
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21229-2314
Practice Address - Country:US
Practice Address - Phone:410-433-5255
Practice Address - Fax:410-433-6795
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-18
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder