Organization
MICHELE'S HAVEN, CDC, INC.
Active
Other names
Michele's Haven, CDC, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MICHELE GILMER M.S. (CHIEF EXECUTIVE OFFICER)
(443) 858-1002
Entity
Organization
Contact information
Practice address
1270 BEAUMONT AVE, BALTIMORE, MD 21239-3418
(443) 858-1002
Mailing address
1270 BEAUMONT AVE, BALTIMORE, MD 21239-3418
(443) 858-1002
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/21/2016
Last updated
06/21/2016
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