Awakenings Counseling Program

NPI #1568729416 in Timonium, Maryland

Provider Information

NPI Number
1568729416
Entity Type
Organization
Organization Name
Awakenings Counseling Program
Subpart
Yes (part of a larger organization)
Parent Organization
GLASS HEALTH PROGRAMS INC.
Primary Specialty
Clinic/Center - Methadone
Enumeration Date
Apr 17, 2012
Last Updated
Apr 17, 2012

Practice Location

Address
2 W AYLESBURY RD
ZIP Code
21093-4101
Phone
(410) 484-2700

Authorized Official

Name
MR. HERMAN WALLACE JONES
Title
PRESIDENT
Phone
(410) 484-2700

Specialties & Taxonomy Codes

Specialty
Clinic/Center - MethadoneMethadone

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