Organization
I CAN'T - WE CAN, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ISRAEL CASON CAC-AD (CHIEF EXECUTIVE OFFICER)
(410) 466-8833
Entity
Organization
Contact information
Practice address
4432 PARK HEIGHTS AVE, BALTIMORE, MD 21215-6324
(410) 466-8833
Mailing address
PO BOX 67160, BALTIMORE, MD 21215-0042
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
903036
MD
Other
Enumeration date
01/17/2007
Last updated
07/25/2007
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