Organization
IMPACT DUI, ILC
Active
Other names
Right Turn Impact
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL BRANNON (CEO)
(410) 581-4900
Entity
Organization
Contact information
Practice address
1209 LIBERTY RD UNIT 104, ELDERSBURG, MD 21784-7980
(410) 581-4900
Mailing address
1209 LIBERTY RD UNIT 102, ELDERSBURG, MD 21784-7980
(410) 581-4900
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
10/15/2020
Last updated
03/04/2021
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