Organization
IDAS PLACE LLC
Active
Other names
Transitioning and Uplifting Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOMINIQUE E LIVERPOOL (PRESIDENT)
(443) 710-3061
Entity
Organization
Contact information
Practice address
583 FREDERICK RD STE 3A, CATONSVILLE, MD 21228-4697
(443) 710-3061
(410) 747-5001
Mailing address
583 FREDERICK RD STE 3A, CATONSVILLE, MD 21228-4697
(443) 710-3061
(410) 747-5001
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
03/13/2024
Last updated
04/17/2024
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