| Drug Treatment Ctr - Psych. Assoc. | |
|
701 W Pratt St 3rd Flr. Baltimore MD 21201-1023 | |
| (410) 328-2539 | |
| (410) 328-8552 |
| Full Name | Drug Treatment Ctr - Psych. Assoc. |
|---|---|
| Speciality | Psychiatry & Neurology - Addiction Psychiatry |
| Location | 701 W Pratt St, Baltimore, Maryland |
| Authorized Official Name and Position | Anthony Bibbo (SENIOR ADMINISTRATOR) |
| Authorized Official Contact | 4103286771 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Drug Treatment Ctr - Psych. Assoc. 701 W Pratt St 3rd Flr. Baltimore MD 21201-1023 Ph: (410) 328-2539 | Drug Treatment Ctr - Psych. Assoc. 701 W Pratt St 3rd Flr. Baltimore MD 21201-1023 Ph: (410) 328-2539 |
| NPI Number | 1659389674 |
|---|---|
| Provider Enumeration Date | 08/04/2006 |
| Last Update Date | 06/24/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659389674 | NPI | - | NPPES |
| 401610600 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0802X | Psychiatry & Neurology - Addiction Psychiatry | (* (Not Available)) | Primary |
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