| David's Loft Center For Outpatient Substance Use | |
|
2641 Maryland Ave Baltimore MD 21218-4518 | |
| (410) 800-4226 | |
| Not Available |
| Full Name | David's Loft Center For Outpatient Substance Use |
|---|---|
| Speciality | Clinic/center |
| Location | 2641 Maryland Ave, Baltimore, Maryland |
| Authorized Official Name and Position | David Henry Thompson (CEO) |
| Authorized Official Contact | 4108004226 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| David's Loft Center For Outpatient Substance Use 2641 Maryland Ave Baltimore MD 21218-4518 Ph: () - | David's Loft Center For Outpatient Substance Use 2641 Maryland Ave Baltimore MD 21218-4518 Ph: (410) 800-4226 |
| NPI Number | 1255178885 |
|---|---|
| Provider Enumeration Date | 07/11/2024 |
| Last Update Date | 07/11/2024 |
| Certification Date | 07/11/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255178885 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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