Organization
BLUE CAMPBELL AND ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LELA BLUE-CAMPBELL LCPC-S (EXECUTIVE DIRECTOR)
(443) 904-8216
Entity
Organization
Contact information
Practice address
2645 WILKENS AVE, BALTIMORE, MD 21223-3314
(443) 904-8216
(443) 708-1443
Mailing address
521 GARRISON FOREST RD, OWINGS MILLS, MD 21117-4010
(443) 904-8216
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MCO
—
MD
Enumeration date
09/26/2022
Last updated
09/26/2022
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