| Community Intervention Healthcare Services Llc | |
|
302 Reisterstown Rd Pikesville MD 21208-5312 | |
| (410) 505-0550 | |
| Not Available |
| Full Name | Community Intervention Healthcare Services Llc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 302 Reisterstown Rd, Pikesville, Maryland |
| Authorized Official Name and Position | Adeleke Ibironke (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 4439293667 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Intervention Healthcare Services Llc 12 Clematis Ct Owings Mills MD 21117-5032 Ph: () - | Community Intervention Healthcare Services Llc 302 Reisterstown Rd Pikesville MD 21208-5312 Ph: (410) 505-0550 |
| NPI Number | 1710679147 |
|---|---|
| Provider Enumeration Date | 05/24/2023 |
| Last Update Date | 06/04/2023 |
| Certification Date | 06/04/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710679147 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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