Man Alive, Inc. | |
2117 Maryland Ave Baltimore MD 21218-5614 | |
(410) 837-4292 | |
(410) 837-0639 |
Full Name | Man Alive, Inc. |
---|---|
Speciality | Counselor - Mental Health |
Location | 2117 Maryland Ave, Baltimore, Maryland |
Authorized Official Name and Position | Karen Reese (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 4108374292 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Man Alive, Inc. 2117 Maryland Ave Baltimore MD 21218-5614 Ph: (410) 837-4292 | Man Alive, Inc. 2117 Maryland Ave Baltimore MD 21218-5614 Ph: (410) 837-4292 |
NPI Number | 1437488053 |
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Provider Enumeration Date | 12/10/2009 |
Last Update Date | 12/10/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1437488053 | NPI | - | NPPES |
759404600 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 900128 (Maryland) | Primary |
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