Lane Treatment Center, LLC

NPI #1598126740 in Baltimore, Maryland

Provider Information

NPI Number: 1598126740
Entity Type: Organization
Organization Name: Lane Treatment Center, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: MAN ALIVE, INC.
Primary Specialty: Rehabilitation Counselor
Enumeration Date: Mar 16, 2016
Last Updated: Mar 16, 2016

Practice Location

Address: 2117 MARYLAND AVE
Address 2: SUITE 400
City: Baltimore
State: Maryland
ZIP Code: 21218-5614
Phone: (410) 244-7350

Authorized Official

Name: DAVID ENGWALL, LCPC
Title: DIRECTOR OF OPERATIONS
Phone: (410) 837-4292

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Rehabilitation Counselor	225C00000X	Primary

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