Organization
STATE OF MARYLAND DEP OF HEALTH MENTAL HYGIENE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUNE EANES CACAD,CFAE (ADDICTION COUNSELOR)
(410) 893-7743
Entity
Organization
Contact information
Practice address
604 CHURCHILL ROAD, SUITE#P, BEL AIR, MD 21014
(410) 893-7743
Mailing address
604 CHURCHILL RD, BEL AIR, MD 21014-4227
(410) 838-8533
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
AC0570
MD
Other
Enumeration date
03/07/2007
Last updated
08/13/2007
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