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Organization

FIRST LIGHT RECOVERY PROGRAM INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. GERALD A HILL SR. CSC-AD (EXECUTIVE DIRECTOR)
(240) 343-2709
Entity
Organization

Contact information

Practice address
1401 PENNSYLVANIA AVE, BALTIMORE, MD 21217-3135
(240) 343-2709
Mailing address
1401 PENNSYLVANIA AVE, BALTIMORE, MD 21217-3135
(240) 343-2709

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
MD

Other

Enumeration date
08/21/2018
Last updated
08/21/2018
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