Organization
TUERK HOUSE, INC.
Active
Other names
N/A
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN E HICKEY PH.D. (EXECUTIVE DIRECTOR)
(410) 233-0684
Entity
Organization
Contact information
Practice address
730 N ASHBURTON ST, BALTIMORE, MD 21216-6119
(410) 233-0684
(410) 233-8540
Mailing address
730 N ASHBURTON ST, BALTIMORE, MD 21216-4703
(410) 233-0684
(410) 233-8540
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
10415
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
024102400
—
MD
Enumeration date
12/14/2005
Last updated
08/22/2020
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