Organization
LEADING BY EXAMPLE LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHNNIE FIELDING JR. MSW (PROGRAM DIRECTOR)
(410) 780-2692
Entity
Organization
Contact information
Practice address
5026 CAMPBELL BLVD, SUITE H, NOTTINGHAM, MD 21236-4966
(410) 780-2692
(410) 780-2694
Mailing address
5026 CAMPBELL BLVD, SUITE H, NOTTINGHAM, MD 21236-4966
(410) 780-2692
(410) 780-2694
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
MD
251S00000X
Community/Behavioral Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
417333300
—
MD
Enumeration date
07/01/2009
Last updated
08/18/2016
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