NPIMap

Organization Active NPI

Cultivating Change

  • Recovery Care Clinic/Center
  • Baltimore, MD
National Provider Identifier
1558019489
Registry record updated Apr 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Recovery Care Clinic/CenterTaxonomy code 261QR0800X
Legal business name
CULTIVATING CHANGE
Practice address
2512 N Charles St FL 1
Baltimore, MD 21218-4645
Phone
(410) 243-0458
NPI assigned
Mar 10, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Delora Walker
Title
Chief Executive Officer
Phone
(410) 493-3372

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Recovery Care Clinic/Center 261QR0800X Primary

Addresses

Primary practice location

2512 N Charles St FL 1
Baltimore, MD 21218-4645

Mailing address

2512 N Charles St
Baltimore, MD 21218-4645
Phone (410) 243-0458

National Provider Directory

National Provider Directory
Tax ID family
Cultivating Change4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1646870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651017600000",
    "number": "1558019489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2512 N CHARLES ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212184645",
            "telephone_number": "410-243-0458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2512 N CHARLES ST FL 1",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212184645",
            "telephone_number": "410-243-0458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CULTIVATING CHANGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-10",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-27",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "DELORA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "410-493-3372"
    },
    "taxonomies": [
        {
            "code": "261QR0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Recovery Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.