| Illuminated Direction Llc | |
|
312 N Charles St Ste 300&400 Baltimore MD 21201-4360 | |
| (443) 955-0048 | |
| Not Available |
| Full Name | Illuminated Direction Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 312 N Charles St Ste 300&400, Baltimore, Maryland |
| Authorized Official Name and Position | Carl Martin Noyes (SPECIAL PROJECTS COORDINATOR) |
| Authorized Official Contact | 9192234571 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Illuminated Direction Llc 2628 Camellia Dr Apt C Durham NC 27705-2054 Ph: () - | Illuminated Direction Llc 312 N Charles St Ste 300&400 Baltimore MD 21201-4360 Ph: (443) 955-0048 |
| NPI Number | 1659986842 |
|---|---|
| Provider Enumeration Date | 09/14/2020 |
| Last Update Date | 04/17/2023 |
| Certification Date | 04/17/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659986842 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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