Bcdjs

NPI 1083049548 - Substance Abuse Rehabilitation Facility - 324500000X

NPI Details
NPI 1083049548
Enumeration Date 09/03/2013
Last Updated 09/03/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name JENNIFER JENNIFER
Position MEDICAL DIRECTOR
Phone (410) 230-3294
Fax (410) 333-4479
Practice Location
909 DRUID PARK LAKE DR
BALTIMORE MD, 21217-4531, US
Phone (410) 230-3294
Fax (410) 333-4479
Business Location
909 DRUID PARK LAKE DR
BALTIMORE MD, 21217-4531, US
Phone (410) 230-3294
Fax (410) 333-4479
Toxanomy
Taxonomy Code 324500000X
License State Maryland
License Number 1273812
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According to our database, Bcdjs NPI is 1083049548, taxonomy code is 324500000X and license number is 1273812, license state is located at Maryland. Bcdjs physically located at 909 Druid Park Lake Dr, Baltimore MD, 21217-4531. NPI Number 1033115704 has the healthcare provider type.

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1083049548 NPI number is provided on an as is basis without warranty of any kind. 1083049548 is maintained by the National Plan & Provider Enumeration System. The contents of Bcdjs are for informational purposes only.