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Organization
NEW PATH RE-ENTRY
Active
Organization
NEW PATH RE-ENTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREN FOUNTAIN (DIRECTOR)
(443) 735-1648
Entity
Organization
Contact information
Practice address
28614 OCEAN GTWY, SALISBURY, MD 21801-2002
(443) 735-1648
Mailing address
28614 OCEAN GTWY, SALISBURY, MD 21801-2002
(443) 735-1648
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
11/19/2025
Last updated
11/19/2025
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