OrganizationActive
Baltimore Community Resource Center, Inc
NPI 1558620708 · Substance Abuse Rehabilitation Facility · Baltimore, MD
Provider details
- NPI number
- 1558620708
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Robin Woodell, Director(410) 366-1717
- License
- 903995 (MD)
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3623 Parkdale Ave
Baltimore, MD 21211-1326
Phone: (410) 366-1717
Fax: (410) 889-4167
Street-level locationGet directions
Mailing address
21 W 25th St
Baltimore, MD 21218-5003
Registry dates
- Enumerated
- 2012-05-09
- Last updated
- 2012-05-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.