Organization
ALTERNATIVE DRUG & ALCOHOL COUNSELING (ADAC)
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEANNA BAILEY NCAC II, SAP, CAC-AD (PROGRAM DIRECTOR/OWNER)
(301) 766-0065
Entity
Organization
Contact information
Practice address
324 E ANTIETAM ST STE 308, HAGERSTOWN, MD 21740-5768
(301) 766-0065
Mailing address
324 E ANTIETAM ST STE 308, HAGERSTOWN, MD 21740-5768
(301) 766-0065
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
106494
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
324505500
—
MD
Enumeration date
11/25/2014
Last updated
07/09/2024
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