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Organization
GUIDED PATH RECOVERY AND REHABILITATION SERVICES
Active
Organization
GUIDED PATH RECOVERY AND REHABILITATION SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHAWN ISAAC (COO)
(443) 804-8970
Entity
Organization
Contact information
Practice address
2401 LIBERTY HEIGHTS AVE STE 1115, BALTIMORE, MD 21215-8009
(443) 804-8970
Mailing address
2401 LIBERTY HEIGHTS AVE STE 1115, BALTIMORE, MD 21215-8009
(443) 804-8970
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
10/18/2021
Last updated
10/18/2021
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