Healthcare Provider Details

I. General information

NPI: 1740777861
Provider Name (Legal Business Name): UPTURN COMMUNITY HEALTH SYSTEMS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/13/2018
Last Update Date: 08/13/2021
Certification Date: 08/13/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3701 OLD COURT RD STE 18B
PIKESVILLE MD
21208-3901
US

IV. Provider business mailing address

1213 LIBERTY RD STE 186
SYKESVILLE MD
21784-7955
US

V. Phone/Fax

Practice location:
  • Phone: 410-702-9366
  • Fax: 443-378-8697
Mailing address:
  • Phone: 410-702-9366
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code320700000X
TaxonomyPhysical Disabilities Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: TERRI BUTLER
Title or Position: CEO
Credential:
Phone: 410-702-9366