| Urban Trauma Counseling Center, Llc | |
|
818 N Montford Ave Baltimore MD 21205-1620 | |
| (410) 844-0770 | |
| Not Available |
| Full Name | Urban Trauma Counseling Center, Llc |
|---|---|
| Speciality | Substance Abuse Rehabilitation Facility |
| Location | 818 N Montford Ave, Baltimore, Maryland |
| Authorized Official Name and Position | Shinelle Oglesby (CEO) |
| Authorized Official Contact | 4108440770 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Urban Trauma Counseling Center, Llc 3709 Essex Rd Pikesville MD 21207-4617 Ph: (410) 960-2496 | Urban Trauma Counseling Center, Llc 818 N Montford Ave Baltimore MD 21205-1620 Ph: (410) 844-0770 |
| NPI Number | 1124891759 |
|---|---|
| Provider Enumeration Date | 11/06/2023 |
| Last Update Date | 11/06/2023 |
| Certification Date | 11/06/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124891759 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 324500000X | Substance Abuse Rehabilitation Facility | (* (Not Available)) | Primary |
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