Clean And Sober

NPI 1063561249 - Counselor - 101YA0400X

NPI Details
NPI 1063561249
Enumeration Date 01/09/2007
Last Updated 09/06/2013
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name FRITZ LINDROTH FRITZ
Position EXECUTIVE DIRECTOR
Phone (410) 268-6800
Fax (410) 268-8637
Practice Location
929 WEST ST
SUITE 207
ANNAPOLIS MD, 21401-3626, US
Phone (410) 268-6800
Fax (410) 268-8637
Business Location
929 WEST ST
SUITE 207
ANNAPOLIS MD, 21401-3626, US
Phone (410) 268-6800
Fax (410) 268-8637
Toxanomy
Taxonomy Code 101YA0400X
License State Maryland
License Number 15660
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According to our database, Clean And Sober NPI is 1063561249, taxonomy code is 101YA0400X and license number is 15660, license state is located at Maryland. Clean And Sober physically located at 929 West St, Annapolis MD, 21401-3626. NPI Number 1033115704 has the healthcare provider type.

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1063561249 NPI number is provided on an as is basis without warranty of any kind. 1063561249 is maintained by the National Plan & Provider Enumeration System. The contents of Clean And Sober are for informational purposes only.