Provider Demographics
NPI:1750146338
Name:B MORE PRP LLC
Entity type:Organization
Organization Name:B MORE PRP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:APELSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-860-6950
Mailing Address - Street 1:100 HARBORVIEW DR UNIT 2109
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21230-5449
Mailing Address - Country:US
Mailing Address - Phone:617-593-3333
Mailing Address - Fax:833-324-0664
Practice Address - Street 1:700 WASHINGTON BLVD STE 504
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21230-2350
Practice Address - Country:US
Practice Address - Phone:443-860-0520
Practice Address - Fax:833-324-0664
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-14
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)