Columbia Addictions Center

NPI 1104257906 - Counselor - 101YA0400X

NPI Details
NPI 1104257906
Enumeration Date 12/03/2013
Last Updated 12/03/2013
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name EILEEN M. EILEEN
Position OWNER/DIRECTOR
Phone (410) 730-1333
Fax (410) 730-1559
Practice Location
5570 STERRETT PL
SUITE 205
COLUMBIA MD, 21044-2641, US
Phone (410) 730-1333
Fax (410) 730-1559
Business Location
5570 STERRETT PL
SUITE 205
COLUMBIA MD, 21044-2641, US
Phone (410) 730-1333
Fax (410) 730-1559
Toxanomy
Taxonomy Code 101YA0400X
License State Maryland
License Number 904392
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According to our database, Columbia Addictions Center NPI is 1104257906, taxonomy code is 101YA0400X and license number is 904392, license state is located at Maryland. Columbia Addictions Center physically located at 5570 Sterrett Pl, Columbia MD, 21044-2641. NPI Number 1033115704 has the healthcare provider type.

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1104257906 NPI number is provided on an as is basis without warranty of any kind. 1104257906 is maintained by the National Plan & Provider Enumeration System. The contents of Columbia Addictions Center are for informational purposes only.