Organization
ADDIS CONSULTING INC.
Active
Parent organization
ADDIS CONSULTING INC
Other names
Fresh Start Comprehensive Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
ADDIS CONSULTING INC
Authorized official
TERRI FIELDS (PRACTICE ADMINISTRATOR)
(443) 884-7521
Entity
Organization
Contact information
Practice address
8492 BALTIMORE NATIONAL PIKE, ELLICOTT CITY, MD 21043-3370
(443) 671-1414
(443) 671-1420
Mailing address
11 E MOUNT ROYAL AVE STE LL, BALTIMORE, MD 21202-2714
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
424075801
—
MD
Enumeration date
06/07/2017
Last updated
03/17/2018
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