Organization
I CAN'T - WE CAN, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ISRAEL B. CASON (CHIEF EXECUTIVE OFFICER)
(410) 728-4491
Entity
Organization
Contact information
Practice address
4432B PARK HEIGHTS AVE, BALTIMORE, MD 21215-6324
(410) 728-4491
Mailing address
4426 PARK HEIGHTS AVE, BALTIMORE, MD 21215-6324
(410) 728-4491
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
903261
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4115988 00
—
MD
Enumeration date
07/25/2007
Last updated
07/25/2007
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