| Enrichment Endeavors, Llc | |
|
100 West Rd Towson MD 21204-2331 | |
| (443) 750-3477 | |
| Not Available |
| Full Name | Enrichment Endeavors, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 100 West Rd, Towson, Maryland |
| Authorized Official Name and Position | Kelly Dacunha (DIRECTOR) |
| Authorized Official Contact | 4437503477 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Enrichment Endeavors, Llc 9114 Old Harford Rd Parkville MD 21234-2659 Ph: () - | Enrichment Endeavors, Llc 100 West Rd Towson MD 21204-2331 Ph: (443) 750-3477 |
| NPI Number | 1164939385 |
|---|---|
| Provider Enumeration Date | 01/09/2018 |
| Last Update Date | 01/09/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164939385 | NPI | - | NPPES |
| 1750897088 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 15603 (Maryland) | Primary |
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