Organization
SHORE HEALTH SYSTEM, INC.
Active
Parent organization
UNIVERSITY OF MARYLAND SHORE REGIONAL HEALTH
Other names
SHORE BEHAVORIAL SUBSTANCE ABUSE IOP
Organization subpart
Yes
Provider details
NPI number
Legal business name
UNIVERSITY OF MARYLAND SHORE REGIONAL HEALTH
Authorized official
MR. KENNETH D KOZEL (PRESIDENT/CEO)
(410) 822-1000
Entity
Organization
Contact information
Practice address
219 S WASHINGTON ST, EASTON, MD 21601-2913
(410) 822-1000
Mailing address
219 S WASHINGTON ST, EASTON, MD 21601-2913
(410) 822-1000
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
423225900
—
MD
Enumeration date
12/11/2014
Last updated
02/10/2021
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