Collington Square Non Profit Corporation

NPI #1124223979 in Baltimore, Maryland

Provider Information

NPI Number: 1124223979
Entity Type: Organization
Organization Name: Collington Square Non Profit Corporation
Primary Specialty: Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children
Enumeration Date: Jun 20, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 1211 N CHESTER ST
City: Baltimore
State: Maryland
ZIP Code: 21213-3330
Phone: (410) 342-6858

Authorized Official

Name: DR. JEWEL GRAY, ED.D
Title: EXECUTIVE DIRECTOR
Phone: (410) 342-6858

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children — Substance Abuse Treatment, Children	3245S0500X	Primary

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