Organization
FIRST BASE LLC
Active
Other names
First Base LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MARQUITA THOMAS (CEO)
(443) 683-7696
Entity
Organization
Contact information
Practice address
920 PROVIDENCE RD STE 407, TOWSON, MD 21286-2979
(410) 705-7224
Mailing address
920 PROVIDENCE RD STE 407, TOWSON, MD 21286-2979
(410) 705-7224
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
—
—
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
08/29/2024
Last updated
09/20/2024
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