Provider Demographics
NPI:1548947864
Name:MNK COMMUNITY RESOURCES, LLC
Entity type:Organization
Organization Name:MNK COMMUNITY RESOURCES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:KARCHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-916-0194
Mailing Address - Street 1:2518 N CHARLES ST APT 1
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21218-4600
Mailing Address - Country:US
Mailing Address - Phone:410-205-2401
Mailing Address - Fax:
Practice Address - Street 1:2518 N CHARLES ST
Practice Address - Street 2:UNIT 1
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21218-4600
Practice Address - Country:US
Practice Address - Phone:410-205-2401
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-28
Last Update Date:2023-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder