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Organization

EPIC11 GROUP LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
EBONNE DAVIS (CO-OWNER)
(888) 704-3742
Entity
Organization

Contact information

Practice address
4631 PARK HEIGHTS AVE, BALTIMORE, MD 21215-6331
(888) 704-3742
Mailing address
7004 SECURITY BLVD STE 300, WINDSOR MILL, MD 21244-2534
(667) 392-7494

Taxonomy

Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary

Other

Enumeration date
12/17/2024
Last updated
12/17/2024
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