Roll Clinic

NPI 1104222827 - Counselor - 101YM0800X

NPI Details
NPI 1104222827
Enumeration Date 11/06/2014
Last Updated 11/06/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name ERNEST ERNEST
Position DIRECTOR
Phone (410) 585-0497
Fax
Practice Location
6204 CROSS COUNTRY BLVD
BALTIMORE MD, 21215-3701, US
Phone (410) 585-0497
Fax
Business Location
6204 CROSS COUNTRY BLVD
BALTIMORE MD, 21215-3701, US
Phone (410) 585-0497
Fax
Toxanomy
Taxonomy Code 101YM0800X
License State Maryland
License Number LC2668
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According to our database, Roll Clinic NPI is 1104222827, taxonomy code is 101YM0800X and license number is LC2668, license state is located at Maryland. Roll Clinic physically located at 6204 Cross Country Blvd, Baltimore MD, 21215-3701. NPI Number 1033115704 has the healthcare provider type.

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1104222827 NPI number is provided on an as is basis without warranty of any kind. 1104222827 is maintained by the National Plan & Provider Enumeration System. The contents of Roll Clinic are for informational purposes only.