Place for Change
NPI #1477917979 in Reisterstown, Maryland
Provider Information
- NPI Number
- 1477917979
- Entity Type
- Organization
- Organization Name
- Place for Change
- Primary Specialty
- Substance Abuse Rehabilitation Facility
- Enumeration Date
- Apr 11, 2016
- Last Updated
- Apr 11, 2016
Practice Location
- Address
- 117 MAPLE RIDGE RD
- City
- Reisterstown
- State
- Maryland
- ZIP Code
- 21136-6518
- Phone
- (410) 370-8544
Authorized Official
- Name
- THERESA THOMAS, ASA-AD
- Title
- CLINICAL DIRECTOR
- Phone
- (410) 370-8544
Specialties & Taxonomy Codes
| Specialty |
|---|
| Substance Abuse Rehabilitation Facility |
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