Alcohol & Drug Intervention

NPI 1063537025 - Counselor - 101YA0400X

NPI Details
NPI 1063537025
Enumeration Date 03/20/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name DEBORAH ANN DEBORAH
Position PRES OWNER PROGRAM DIRECTOR
Phone (410) 972-2484
Fax (410) 972-2485
Practice Location
700 MELVIN AVE
SUITE 2
ANNAPOLIS MD, 21401, US
Phone (410) 972-2484
Fax (410) 972-2485
Business Location
7458 B A BLVD
SUITE 1
GLEN BURNIE MD, 21061, US
Phone (410) 787-2288
Fax (410) 787-9429
Toxanomy
Taxonomy Code 101YA0400X
License State Maryland
License Number 12875
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According to our database, Alcohol & Drug Intervention NPI is 1063537025, taxonomy code is 101YA0400X and license number is 12875, license state is located at Maryland. Alcohol & Drug Intervention physically located at 700 Melvin Ave, Annapolis MD, 21401. NPI Number 1033115704 has the healthcare provider type.

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1063537025 NPI number is provided on an as is basis without warranty of any kind. 1063537025 is maintained by the National Plan & Provider Enumeration System. The contents of Alcohol & Drug Intervention are for informational purposes only.