Organization
POSITIVE INTERVENTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC KEBELA LCSW-C (CHIEF EXECUTIVE OFFICER)
(443) 854-1065
Entity
Organization
Contact information
Practice address
928 ASHBRIDGE DRIVE APT. L, ESSEX, MD 21221
(443) 854-1065
Mailing address
928 ASHBRIDGE DRIVE APT. L, ESSEX, MD 21221
(443) 854-1065
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
251K0000X
MD
251S00000X
Community/Behavioral Health Agency
Primary
251S0000X
MD
252Y00000X
Early Intervention Provider Agency
252Y0000X
MD
Other
Enumeration date
10/23/2013
Last updated
10/23/2013
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