| Father Martin's Ashley | |
|
800 Tydings Ln Havre De Grace MD 21078-2102 | |
| (800) 799-4673 | |
| (410) 273-2290 |
| Full Name | Father Martin's Ashley |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 800 Tydings Ln, Havre De Grace, Maryland |
| Authorized Official Name and Position | Albert Germann (VP FINANCE/CFO) |
| Authorized Official Contact | 4102732207 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Father Martin's Ashley 800 Tydings Ln Havre De Grace MD 21078-2102 Ph: (800) 799-4673 | Father Martin's Ashley 800 Tydings Ln Havre De Grace MD 21078-2102 Ph: (800) 799-4673 |
| NPI Number | 1144612151 |
|---|---|
| Provider Enumeration Date | 02/27/2015 |
| Last Update Date | 06/21/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144612151 | NPI | - | NPPES |
| 423736600 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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