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Organization
EACH1TEACH1 COMMUNITY HEALTH,LLC
Active
Organization
EACH1TEACH1 COMMUNITY HEALTH,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIE JAMES WILSON JR. CAC-AD (CLINICAL DIRECTOR)
(443) 271-2874
Entity
Organization
Contact information
Practice address
5011 ARBUTUS AVE STE 210, BALTIMORE, MD 21215-5723
(443) 271-2874
(410) 893-7122
Mailing address
3111 CLIFTON AVE, BALTIMORE, MD 21216-2734
(443) 271-2874
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
NULL
Other
Enumeration date
06/14/2023
Last updated
07/17/2023
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