Organization
ABAY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUALINE RENETTE PETERSON (CEO)
(410) 202-0883
Entity
Organization
Contact information
Practice address
1712 MAIN ST STE 220A, CHESTER, MD 21619-2950
(443) 822-5891
Mailing address
1712 MAIN ST STE 220A, CHESTER, MD 21619-2950
(443) 822-5891
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
3245S0500X
Children's Substance Abuse Rehabilitation Facility
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
07/22/2024
Last updated
07/22/2024
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