Michael's Loft Residential Program
NPI #1326521089 in Brooklyn Park, Maryland
Provider Information
- NPI Number
- 1326521089
- Entity Type
- Organization
- Organization Name
- Michael's Loft Residential Program
- Primary Specialty
- Rehabilitation, Substance Use Disorder Unit
- Enumeration Date
- Sep 10, 2018
- Last Updated
- Sep 10, 2018
Practice Location
- Address
- 743 OLD RIVERSIDE RD
- City
- Brooklyn Park
- State
- Maryland
- ZIP Code
- 21225-2660
- Phone
- (443) 388-9654
Authorized Official
- Name
- MS. ALETTA PESI, LCPC
- Title
- OWNER
- Phone
- (443) 416-5474
Specialties & Taxonomy Codes
| Specialty |
|---|
| Rehabilitation, Substance Use Disorder Unit |
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