Organization
SOBER TRANSITION AND RECOVERY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OZIETTA TAYLOR PHD (CEO)
(443) 813-5677
Entity
Organization
Contact information
Practice address
3218 BELAIR RD., BALTIMORE, MD 21213
(443) 813-5677
Mailing address
5417 DAYWALT AVENUE, BALTIMORE, MD 21206
(443) 813-5677
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LCA1877
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00000
—
MD
Enumeration date
08/14/2014
Last updated
08/14/2014
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