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Organization

NATIONAL CENTER ON INSTITUTIONS & ALTERNATIVES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. KIRK LARTER (VICE PRESIDENT OF FINANCE)
(443) 780-1351
Entity
Organization

Contact information

Practice address
7222 AMBASSADOR RD, BALTIMORE, MD 21244-2709
(410) 265-1490
Mailing address
7222 AMBASSADOR RD, BALTIMORE, MD 21244-2709
(410) 265-1490

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
1041C0700X
Clinical Social Worker
2084P0800X
Psychiatry Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
034143300
DC
05
783302400
MD
Enumeration date
06/03/2006
Last updated
11/24/2008
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