Organization
SOBER TRUTH INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOYCE GREENSTREET MAHONEY PH.D. (EXECUTIVE DIRECTOR)
(443) 918-8592
Entity
Organization
Contact information
Practice address
32 W BALTIMORE ST, TANEYTOWN, MD 21787-2016
(443) 918-8592
Mailing address
32 W BALTIMORE ST, TANEYTOWN, MD 21787-2016
(443) 918-8592
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08042016
—
MD
Enumeration date
08/04/2016
Last updated
04/29/2020
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