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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 (SENIOR BILLING CLERK)
(410) 467-5291
Entity
Organization

Contact information

Practice address
5665 PURDUE AVE, BALTIMORE, MD 21239-2802
(410) 467-5291
(410) 800-2928
Mailing address
730 N ASHBURTON ST, BALTIMORE, MD 21216-4703
(410) 467-5291
(410) 800-2928

Taxonomy

Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
904734
MD
324500000X
Substance Abuse Rehabilitation Facility
Primary
BH000896
MD
324500000X
Substance Abuse Rehabilitation Facility
BH000897
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
902140
MARYLAND DEPARTMENT OF HEALTH BEHAVIORAL HEALTH ADMINISTRATION
MD
01
BH000896
MARYLAND DEPARTMENT OF HEALTH BEHAVIORAL HEALTH ADMINISTRATION
MD
01
BH000897
MARYLAND DEPARTMENT OF HEALTH BEHAVIORAL HEALTH ADMINISTRATION
MD
Enumeration date
08/16/2018
Last updated
11/01/2018
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