Healthcare Provider Details

I. General information

NPI: 1215589940
Provider Name (Legal Business Name): HARFORD CRISIS CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/12/2019
Last Update Date: 06/17/2025
Certification Date: 06/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

802 BALTIMORE PIKE STE A
BEL AIR MD
21014-4212
US

IV. Provider business mailing address

520 UPPER CHESAPEAKE DR STE 405
BEL AIR MD
21014-4381
US

V. Phone/Fax

Practice location:
  • Phone: 443-643-2422
  • Fax: 410-638-5260
Mailing address:
  • Phone: 443-643-3464
  • Fax: 443-643-3343

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: DAVID FATKIN
Title or Position: DIRECTOR OF FINANCE
Credential:
Phone: 443-643-3464