| The Alban Initiative Program | |
|
1800 N Charles St 904 Baltimore MD 21201-5920 | |
| (443) 388-9654 | |
| (443) 388-9367 |
| Full Name | The Alban Initiative Program |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 1800 N Charles St, Baltimore, Maryland |
| Authorized Official Name and Position | Aletta Muzila-pesi (OWNER) |
| Authorized Official Contact | 4433889654 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Alban Initiative Program 1800 N Charles St 904 Baltimore MD 21201-5920 Ph: (443) 388-9654 | The Alban Initiative Program 1800 N Charles St 904 Baltimore MD 21201-5920 Ph: (443) 388-9654 |
| NPI Number | 1063964161 |
|---|---|
| Provider Enumeration Date | 10/25/2016 |
| Last Update Date | 10/25/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063964161 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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