Organization
TOTAL HEALTH CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BERNARD LEE FOWLKES JR. TRAINEE (ADDICTION COUNSELOR)
(410) 735-5216
Entity
Organization
Contact information
Practice address
1501 W SARATOGA ST, BALTIMORE, MD 21223-1749
(410) 383-7197
(410) 383-3131
Mailing address
1501 W SARATOGA ST, BALTIMORE, MD 21223-1749
(410) 383-7197
(410) 383-3131
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
MD
Other
Enumeration date
05/07/2010
Last updated
05/07/2010
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