| Devaughn Intervention Teach And Treat Options | |
|
4804 York Rd Ste 2 Baltimore MD 21212-4401 | |
| (443) 873-8958 | |
| (443) 873-8959 |
| Full Name | Devaughn Intervention Teach And Treat Options |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4804 York Rd Ste 2, Baltimore, Maryland |
| Authorized Official Name and Position | Eva Devaughn (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4432718046 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Devaughn Intervention Teach And Treat Options 5003 Ardmore Way Baltimore MD 21206-5004 Ph: (443) 271-8046 | Devaughn Intervention Teach And Treat Options 4804 York Rd Ste 2 Baltimore MD 21212-4401 Ph: (443) 873-8958 |
| NPI Number | 1003210873 |
|---|---|
| Provider Enumeration Date | 10/22/2014 |
| Last Update Date | 03/06/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003210873 | NPI | - | NPPES |
| 1699076562 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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