Center for Social Change INC

NPI #1720583990 in Randallstown, Maryland

Provider Information

NPI Number
1720583990
Entity Type
Organization
Organization Name
Center for Social Change INC
Subpart
Yes (part of a larger organization)
Parent Organization
CENTER FOR SOCIAL CHANGE, INC.
Primary Specialty
Assisted Living Facility
Enumeration Date
Mar 28, 2018
Last Updated
Mar 28, 2018

Practice Location

Address
4816 OLD COURT RD
ZIP Code
21133-4627
Phone
(443) 271-9541

Authorized Official

Name
MRS. CAITLIN JOHNSEN
Title
ASSOCIATE DIRECTOR OF PROGRAMS
Phone
(443) 271-9541

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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