| Adolaize Llc | |
|
5900 York Rd Ste 203 Baltimore MD 21212-3040 | |
| (443) 219-7878 | |
| Not Available |
| Full Name | Adolaize Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 5900 York Rd Ste 203, Baltimore, Maryland |
| Authorized Official Name and Position | Tashima Thomas (CLINICAL DIRECTOR) |
| Authorized Official Contact | 4432197878 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Adolaize Llc 10821 Red Run Blvd Unit 969 Owings Mills MD 21117-8547 Ph: (443) 219-7878 | Adolaize Llc 5900 York Rd Ste 203 Baltimore MD 21212-3040 Ph: (443) 219-7878 |
| NPI Number | 1649894254 |
|---|---|
| Provider Enumeration Date | 05/31/2020 |
| Last Update Date | 12/20/2020 |
| Certification Date | 12/20/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649894254 | NPI | - | NPPES |
| 489009400 | Medicaid | MD |
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