Organization
PIXIE CARES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH LEWIS (OWNER)
(443) 869-3659
Entity
Organization
Contact information
Practice address
2641 ASHLAND AVE, BALTIMORE, MD 21205-1646
(410) 809-0864
Mailing address
2641 ASHLAND AVE, BALTIMORE, MD 21205-1646
(410) 809-0864
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
09/13/2021
Last updated
09/13/2021
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