Organization
TUERK HOUSE, INC
Active
Parent organization
TUERK HOUSE, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
TUERK HOUSE, INC
Authorized official
VANESSA LYLE (BILLING MANAGER)
(667) 212-3626
Entity
Organization
Contact information
Practice address
730 N ASHBURTON ST, BALTIMORE, MD 21216-4703
(667) 212-3626
Mailing address
2701 N CHARLES ST, BALTIMORE, MD 21218-4351
(667) 212-3626
(443) 708-8665
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
210511066
BHA
MD
Enumeration date
09/02/2021
Last updated
09/02/2021
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