Healthcare Provider Details

I. General information

NPI: 1295690675
Provider Name (Legal Business Name): BALTIMORE CRISIS RESPONSE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/18/2025
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5124 GREENWICH AVE
BALTIMORE MD
21229-2314
US

IV. Provider business mailing address

5124 GREENWICH AVE
BALTIMORE MD
21229-2314
US

V. Phone/Fax

Practice location:
  • Phone: 443-826-0779
  • Fax: 410-433-5255
Mailing address:
  • Phone: 443-826-0779
  • Fax: 410-433-5255

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DEANA KRIZAN
Title or Position: DIRECTOR OF COMPLIANCE
Credential: LCSW-C
Phone: 443-826-0779