Organization
NATIONAL CENTER ON INSTITUTIONS & ALTERNATIVES
Active
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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