Organization
AMA TRANSITIONAL SERVICES, LLC
Active
Parent organization
AMA TRANSITIONAL SERVICES, LLC
Other names
AMA Transitional Services, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
AMA TRANSITIONAL SERVICES, LLC
Authorized official
ALDIN L. GORDON LCPC (THERAPIST)
(716) 465-6832
Entity
Organization
Contact information
Practice address
1407 LOCHNER RD STE 0, BALTIMORE, MD 21239-2932
(716) 465-6832
Mailing address
1407 LOCHNER RD STE 0, BALTIMORE, MD 21239-2932
(716) 465-6832
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
LC4829
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
086022100
—
MD
Enumeration date
10/18/2017
Last updated
10/18/2017
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