Organization
MAN ALIVE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KAREN REESE MA, CAC-AD (EXECUTIVE DIRECTOR)
(410) 837-4292
Entity
Organization
Contact information
Practice address
2117 MARYLAND AVE, BALTIMORE, MD 21218-5614
(410) 837-4292
(410) 837-0639
Mailing address
2117 MARYLAND AVE, BALTIMORE, MD 21218-5614
(410) 837-4292
(410) 837-0639
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
900128
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
759404600
—
MD
Enumeration date
12/10/2009
Last updated
12/10/2009
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