| A New Way Clinic Inc | |
|
2411 Crofton Lane Suite 12 Crofton MD 21114-1349 | |
| (410) 451-7323 | |
| (410) 451-8205 |
| Full Name | A New Way Clinic Inc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 2411 Crofton Lane, Crofton, Maryland |
| Authorized Official Name and Position | Perri Ray Okeefe (PROGRAM DIRECTOR CEO) |
| Authorized Official Contact | 4104517323 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A New Way Clinic Inc 2411 Crofton Lane Suite 12 Crofton MD 21114-1349 Ph: (410) 451-7323 | A New Way Clinic Inc 2411 Crofton Lane Suite 12 Crofton MD 21114-1349 Ph: (410) 451-7323 |
| NPI Number | 1588857650 |
|---|---|
| Provider Enumeration Date | 08/22/2007 |
| Last Update Date | 08/22/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588857650 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 105041 (Maryland) | Primary |
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