Organization
AUTUMNS PASSAGES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS COLLEEN R BARTLEY (DIRECTOR)
(443) 547-0458
Entity
Organization
Contact information
Practice address
227 EAST 25TH STREET., BALTIMORE, MD 21218
(443) 547-0458
(443) 378-8757
Mailing address
227 EAST 25TH STREET, BALTIMORE, MD 21218
(443) 378-8757
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
10/08/2015
Last updated
10/08/2015
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