Organization
ADDICTION & CRISIS CARE SYSTEMS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DREW FULLER MD (OWNER)
(443) 622-4317
Entity
Organization
Contact information
Practice address
3168 BRAVERTON ST STE 400, EDGEWATER, MD 21037-2675
(844) 387-7469
Mailing address
3168 BRAVERTON ST STE 400, EDGEWATER, MD 21037-2675
(844) 387-7469
Taxonomy
Speciality
Code
Description
License number
State
207RA0401X
Addiction Medicine (Internal Medicine) Physician
—
—
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
Primary
—
—
Other
Enumeration date
03/01/2021
Last updated
03/08/2021
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