Organization
UMMC INTENSIVE OUTPATIENT PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL PAPA (SERVICE LINE MANAGER)
(410) 328-1057
Entity
Organization
Contact information
Practice address
701 W PRATT ST, BALTIMORE, MD 21201-1023
(410) 328-6600
Mailing address
701 W PRATT ST, BALTIMORE, MD 21201-1023
(410) 328-6600
Taxonomy
Speciality
Code
Description
License number
State
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
Primary
45780
—
Other
Enumeration date
02/08/2007
Last updated
08/22/2020
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