| Alcohol And Drug Intervention | |
|
7458 Baltimore Annapolis Blvd 2nd Floor Glen Burnie MD 21061-3541 | |
| (410) 787-2288 | |
| (410) 787-9479 |
| Full Name | Alcohol And Drug Intervention |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 7458 Baltimore Annapolis Blvd, Glen Burnie, Maryland |
| Authorized Official Name and Position | Mindy Fleetwood (PRESIDENT) |
| Authorized Official Contact | 4107872288 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alcohol And Drug Intervention 7458 Baltimore Annapolis Blvd Glen Burnie MD 21061-3541 Ph: (410) 787-2288 | Alcohol And Drug Intervention 7458 Baltimore Annapolis Blvd 2nd Floor Glen Burnie MD 21061-3541 Ph: (410) 787-2288 |
| NPI Number | 1427449172 |
|---|---|
| Provider Enumeration Date | 02/16/2015 |
| Last Update Date | 12/08/2020 |
| Certification Date | 12/08/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427449172 | NPI | - | NPPES |
| 418743100 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
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