Organization
JEWISH ADDICTION SERVICES
Active
Other names
Jewish Big Brother Big Sister League
Organization subpart
No
Provider details
NPI number
Authorized official
MS. EILEEN R. KATZ MS LMFT (RECOVERY SERVICES COORDINATOR)
(410) 843-7452
Entity
Organization
Contact information
Practice address
5750 PARK HEIGHTS AVE, SUITE 286, BALTIMORE, MD 21215-3930
(410) 843-7575
(410) 484-3003
Mailing address
5750 PARK HEIGHTS AVE, SUITE 286, BALTIMORE, MD 21215-3930
(410) 843-7575
(410) 484-3003
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
15588
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AK40
PROVIDER TYPE NUMBER
MD
Enumeration date
01/09/2007
Last updated
08/22/2020
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