Organization
DOC HEALS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RALIKH HAYES (CFO)
(443) 469-7057
Entity
Organization
Contact information
Practice address
112 BRIGHT OAKS DR, BEL AIR, MD 21015-6251
(667) 289-5098
Mailing address
3035 ARUNAH AVE, BALTIMORE, MD 21216-4604
Taxonomy
Speciality
Code
Description
License number
State
101200000X
Drama Therapist
—
—
101Y00000X
Counselor
Primary
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP1600X
Pastoral Counselor
—
—
102X00000X
Poetry Therapist
—
—
171400000X
Health & Wellness Coach
—
—
172V00000X
Community Health Worker
—
—
174H00000X
Health Educator
—
—
175T00000X
Peer Specialist
—
—
251K00000X
Public Health or Welfare Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
405300000X
Prevention Professional
—
—
Other
Enumeration date
08/29/2023
Last updated
08/30/2023
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