Organization
BEHAVIORAL HEALTH LEADERSHIP INSTITUTE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH AGUS JD (EXECUTIVE DIRECTOR)
(410) 367-5878
Entity
Organization
Contact information
Practice address
401 EDGAR STREET (VAN), BALTIMORE, MD 21202
(410) 367-5878
Mailing address
2200 ARDEN RD, BALTIMORE, MD 21209-4205
(410) 367-5878
Taxonomy
Speciality
Code
Description
License number
State
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
07/26/2018
Last updated
07/26/2018
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