Doctor Name: | DR. BERNADETTE LOUISE SOLOUNIAS |
NPI Number: | 1053464909 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | D0034114 |
Business Practice Address: | 800 Tydings Ln Havre De Grace, MD - 210782132 |
Business Phone Number: | 4102736600 |
Business Fax Number: | |
Mailing Address: | 800 Tydings Ln, HAVRE DE GRACE |
State: | MD |
Postal Code: | 210782132 |
Phone Number: | 4102736600 |
Fax Number: | |
NPI Enumeration Date: | 01/22/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 324500000X |
License Number: | D0034114 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Residential Treatment Facilities |
Taxonomy Classification: | Substance Abuse Rehabilitation Facility |
Taxonomy Specialization: | |
Taxonomy Definition: | A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |