Organization
1ST ALLIANCE BEHAVIORAL HEALTH & WELLNESS CENTER LLC
Active
Other names
1st Alliance
Organization subpart
No
Provider details
NPI number
Authorized official
CORAL V ROSS (CEO)
(410) 491-1917
Entity
Organization
Contact information
Practice address
4 N EXETER ST STE 200, BALTIMORE, MD 21202-4711
(410) 905-9153
Mailing address
PO BOX 850, RANDALLSTOWN, MD 21133-0850
(410) 491-1917
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
177F00000X
Lodging Provider
—
—
251B00000X
Case Management Agency
Primary
—
—
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
310400000X
Assisted Living Facility
—
—
311ZA0620X
Adult Care Home Facility
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
11/25/2024
Last updated
11/25/2024
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