| NPI | 1760873632 |
|---|---|
| Other Name | CCG BALTIMORE |
| Entity Type | Organization |
| Authorized Contact | BARBARA A WAHL Business Operations Director 667-239-3205 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X (Licence: MD 251B00000x) |
| Enumeration Date | 2015-02-12 |
| Last Update Date | 2015-09-25 |