Organization Name: | OUTPATIENT ALCOHOL COUNSELING AND EDUCATION SERVICES CORP. |
NPI Number: | 1023167335 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHAEL KAISER (DIRECTOR) |
Mailing Address: | 416 Hungerford Dr 209 Rockville |
State: | MD US |
Postal Code: | 208504127 |
Phone Number: | 3017621383 |
Fax Number: | 3017622048 |
NPI Enumeration Date: | 01/09/2007 |
NPI Last Update Date: | 06/18/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 903159 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |