Healthcare Provider Details

I. General information

NPI: 1730010992
Provider Name (Legal Business Name): CHANGING TURN COMMUNITY HEALTHCARE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2026
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4722 CHATFORD AVE
BALTIMORE MD
21206-6801
US

IV. Provider business mailing address

500 EDGEWOOD RD STE 210
EDGEWOOD MD
21040-2734
US

V. Phone/Fax

Practice location:
  • Phone: 443-402-0172
  • Fax: 443-922-7839
Mailing address:
  • Phone: 443-402-0172
  • Fax: 443-922-7839

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: CHAUNNA THOMAS
Title or Position: CEO
Credential:
Phone: 443-402-0172