Organization
NORTHSTAR ACADEMY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GALE SALER LCPC, CRC-MAC (CHIEF EXECUTIVE OFFICER)
(301) 509-9033
Entity
Organization
Contact information
Practice address
12300 TWINBROOK PKWY, SUITE 250, ROCKVILLE, MD 20852-1606
(301) 509-9033
Mailing address
12300 TWINBROOK PKWY, SUITE 250, ROCKVILLE, MD 20852-1606
(301) 509-9033
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LC1345
MD
251S00000X
Community/Behavioral Health Agency
Primary
LC1345
MD
Other
Enumeration date
06/24/2014
Last updated
06/24/2014
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