Organization
EAST BALTIMORE COMMUNITY CORPORATION / REFLECTIVE TREATMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MURIEL V. BROTHERS (PROGRAM ADMINISTRATOR)
(410) 727-7400
Entity
Organization
Contact information
Practice address
301 N GAY ST, BALTIMORE, MD 21202-4831
(410) 752-3500
(410) 528-1005
Mailing address
301 N GAY ST, BALTIMORE, MD 21202-4813
(410) 752-3500
(410) 528-1005
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
316811
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
733530000
—
MD
Enumeration date
02/01/2006
Last updated
03/19/2015
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