| Street Angel Project Peer Recovery Services | |
|
92 W Washington St Annapolis MD 21401-2432 | |
| (443) 949-9545 | |
| Not Available |
| Full Name | Street Angel Project Peer Recovery Services |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 92 W Washington St, Annapolis, Maryland |
| Authorized Official Name and Position | Shirley L Gordon (OWNER) |
| Authorized Official Contact | 4439499545 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Street Angel Project Peer Recovery Services 55 Clay St Annapolis MD 21401-2402 Ph: (443) 591-2434 | Street Angel Project Peer Recovery Services 92 W Washington St Annapolis MD 21401-2432 Ph: (443) 949-9545 |
| NPI Number | 1437822665 |
|---|---|
| Provider Enumeration Date | 07/25/2021 |
| Last Update Date | 10/05/2021 |
| Certification Date | 10/05/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437822665 | NPI | - | NPPES |
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