Organization
CHANGE TREATMENT LLC
Active
Other names
Change Treatment Centers
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN WERE MBA, MSC (DIRECTOR)
(410) 831-5756
Entity
Organization
Contact information
Practice address
2926 E COLD SPRING LN STE 3, BALTIMORE, MD 21214-2800
(443) 650-8494
(888) 712-2405
Mailing address
806 ROUNDTOP CT APT 3A, LUTHERVILLE TIMONIUM, MD 21093-5041
(410) 831-5756
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
R170382
MD
Other
Enumeration date
02/21/2018
Last updated
02/21/2018
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