Organization
DAVID'S LOFT CLINICAL PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID H THOMPSON JR. PSYD (CEO)
(410) 800-4285
Entity
Organization
Contact information
Practice address
20 E FAYETTE ST, BALTIMORE, MD 21202-1706
(410) 800-4226
Mailing address
2641 MARYLAND AVE, BALTIMORE, MD 21218-4518
(410) 800-4226
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
04/13/2023
Last updated
06/05/2023
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