| Uncaged Potential | |
|
1 Olympic Pl Ste 900 Towson MD 21204-4113 | |
| (201) 920-6787 | |
| Not Available |
| Full Name | Uncaged Potential |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 1 Olympic Pl Ste 900, Towson, Maryland |
| Authorized Official Name and Position | Jeffrey Aviles (THERAPIST) |
| Authorized Official Contact | 2019206787 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Uncaged Potential 703 Dale Ave Baltimore MD 21206-1308 Ph: (201) 920-6787 | Uncaged Potential 1 Olympic Pl Ste 900 Towson MD 21204-4113 Ph: (201) 920-6787 |
| NPI Number | 1205469475 |
|---|---|
| Provider Enumeration Date | 02/17/2020 |
| Last Update Date | 04/02/2024 |
| Certification Date | 04/02/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205469475 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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