Organization
KALEB KIDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELLA VASELL (PRESIDENT)
(443) 453-1161
Entity
Organization
Contact information
Practice address
5404 REISTERSTOWN RD, BALTIMORE, MD 21215-4403
(410) 764-0590
(410) 764-8519
Mailing address
5404 REISTERSTOWN RD, BALTIMORE, MD 21215-4403
(410) 764-0590
(410) 764-8519
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/01/2018
Last updated
10/01/2018
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