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E.R.I.C.'S: A PLACE FOR ANGELS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. ERICA GAIL WALLACE (EXECUTIVE DIRECTOR)
(410) 602-5191
Entity
Organization

Contact information

Practice address
6901 CHIPPEWA DR, MT WASHINGTON, MD 21209-1436
(410) 602-5191
Mailing address
6901 CHIPPEWA DR, MT WASHINGTON, MD 21209-1436
(410) 602-5191

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MD

Other

Enumeration date
11/18/2013
Last updated
11/18/2013
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