University Of Maryland Methadone Treatment Program

NPI 1407177447 - Counselor - 101YA0400X

NPI Details
NPI 1407177447
Enumeration Date 06/14/2010
Last Updated 11/20/2015
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name KIMMIE KIMMIE
Position BILLING DIRECTOR
Phone (717) 428-0552
Fax
Practice Location
1001 W PRATT ST
BALTIMORE MD, 21223-2679, US
Phone (717) 428-0552
Fax
Business Location
PO BOX 62498
BALTIMORE MD, 21264-2498, US
Phone (717) 428-0552
Fax
Toxanomy
Taxonomy Code 101YA0400X
License State Maryland
License Number 100083
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According to our database, University Of Maryland Methadone Treatment Program NPI is 1407177447, taxonomy code is 101YA0400X and license number is 100083, license state is located at Maryland. University Of Maryland Methadone Treatment Program physically located at 1001 W Pratt St, Baltimore MD, 21223-2679. NPI Number 1033115704 has the healthcare provider type.

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1407177447 NPI number is provided on an as is basis without warranty of any kind. 1407177447 is maintained by the National Plan & Provider Enumeration System. The contents of University Of Maryland Methadone Treatment Program are for informational purposes only.