Organization
PASSION CARE TREATMENT CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RONKE FUNKE IZIOGO CSC-AD (CEO)
(443) 536-8014
Entity
Organization
Contact information
Practice address
218 E LEXINGTON ST STE 602&603, BALTIMORE, MD 21202-3532
(443) 536-8014
Mailing address
218 E LEXINGTON ST STE 602&603, BALTIMORE, MD 21202-3532
(443) 536-8014
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
02/15/2023
Last updated
02/15/2023
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