Organization
LEADING BY EXAMPLE LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHNNIE LOUIS FIELDING JR. MSW (PROGRAM DIRECTOR)
(443) 957-5237
Entity
Organization
Contact information
Practice address
5026 CAMPBELL BLVD, SUITE H, NOTTINGHAM, MD 21236-4966
(410) 780-2692
(410) 780-2694
Mailing address
5026 CAMPBELL BLVD, SUITE H, NOTTINGHAM, MD 21236-4966
(410) 780-2692
(410) 780-2694
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1623
MD
Other
Enumeration date
01/22/2016
Last updated
01/22/2016
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