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BALTIMORE, MD
NPI1942955711
Entity TypeOrganization
Authorized ContactTYRONE C DUBOSE
CEO
443-858-1997
Organization Subpart ?No
Primary Taxonomy261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder
Enumeration Date2022-02-19
Last Update Date2022-09-29
Business Address
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112 E 25TH ST UNIT 1
BALTIMORE, MD 21218-5214
Phone number: 443-858-1997
Mailing Address
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5714 ALLENDER RD
WHITE MARSH, MD 21162-1307
Phone number: 443-858-1997
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