Healthcare Provider Details

I. General information

NPI: 1548947864
Provider Name (Legal Business Name): MNK COMMUNITY RESOURCES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/28/2023
Last Update Date: 06/28/2023
Certification Date: 06/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2518 N CHARLES ST UNIT 1
BALTIMORE MD
21218-4600
US

IV. Provider business mailing address

2518 N CHARLES ST APT 1
BALTIMORE MD
21218-4600
US

V. Phone/Fax

Practice location:
  • Phone: 410-205-2401
  • Fax:
Mailing address:
  • Phone: 410-205-2401
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MARK KARCHER
Title or Position: CEO
Credential:
Phone: 410-916-0194