DYNAMIC CHANGE; NPI #1396688271

Contact Information

DYNAMIC CHANGE

405 LONG ISLAND AVE APT B
BALTIMORE, MD 21229-4010

Phone: 443-537-5246
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X
Community/Behavioral Health	251S00000X
Substance Abuse Disorder Rehabilitation Facility	324500000X

Indicates primary specialty

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NPI Profile & details for DYNAMIC CHANGE

NPI #	`1396688271`
LBN Legal business name	DYNAMIC CHANGE
Authorized official	SUDIA CORBIN - (DIRECTOR)
Entity	Organization
Organization subpart ¹	No
Enumeration date	04/14/2026
Last updated	04/14/2026 - About 2 months ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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DYNAMIC CHANGE

Contact Information

Specialty

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Community/Behavioral Health

Substance Abuse Disorder Rehabilitation Facility

NPI Profile & details for DYNAMIC CHANGE

Reviews for DYNAMIC CHANGE