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Organization
MICHELE'S HAVEN, CDC, INC.
Active
Organization
MICHELE'S HAVEN, CDC, INC.
Active
Other names
Michele's Haven, CDC, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MICHELE GILMER M.S. (CHIEF EXECUTIVE OFFICER)
(443) 858-1002
Entity
Organization
Contact information
Practice address
1270 BEAUMONT AVE, BALTIMORE, MD 21239-3418
(443) 858-1002
Mailing address
1270 BEAUMONT AVE, BALTIMORE, MD 21239-3418
(443) 858-1002
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/21/2016
Last updated
06/21/2016
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