Organization
A NEW WAY CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PERRI RAY OKEEFE MA LCADC (PROGRAM DIRECTOR CEO)
(410) 451-7323
Entity
Organization
Contact information
Practice address
2411 CROFTON LANE, SUITE 12, CROFTON, MD 21114-1349
(410) 451-7323
(410) 451-8205
Mailing address
2411 CROFTON LANE, SUITE 12, CROFTON, MD 21114-1349
(410) 451-7323
(410) 451-8205
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
105041
MD
Other
Enumeration date
08/22/2007
Last updated
08/22/2007
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