Provider Demographics
NPI:1710393590
Name:BALTIMORE AREA COMMUNITY HEALTH SERVICES LLC
Entity Type:Organization
Organization Name:BALTIMORE AREA COMMUNITY HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:MR
Authorized Official - First Name:PATHIK
Authorized Official - Middle Name:
Authorized Official - Last Name:RAMI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-844-4770
Mailing Address - Street 1:3551 KESWICK RD
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21211-2640
Mailing Address - Country:US
Mailing Address - Phone:443-844-4770
Mailing Address - Fax:714-410-2848
Practice Address - Street 1:4128 HAYWARD AVE
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21215-4337
Practice Address - Country:US
Practice Address - Phone:443-844-4770
Practice Address - Fax:714-410-2848
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-01
Last Update Date:2014-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health