Organization
BCDJS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER MAEHR M.D. (MEDICAL DIRECTOR)
(410) 230-3217
Entity
Organization
Contact information
Practice address
909 DRUID PARK LAKE DR, BALTIMORE, MD 21217-4531
(410) 230-3294
(410) 333-4479
Mailing address
909 DRUID PARK LAKE DR, BALTIMORE, MD 21217-4531
(410) 230-3294
(410) 333-4479
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
1273812
MD
Other
Enumeration date
09/03/2013
Last updated
09/03/2013
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