| Doctor Name: | MR. PAUL N SACKS |
| NPI Number: | 1063505626 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LCADC |
| License Number: | LCA044 |
| Business Practice Address: | 3525 Resource Drive Room C47 Randallstown, MD - 21133 |
| Business Phone Number: | 4106557655 |
| Business Fax Number: | 4106553941 |
| Mailing Address: | 10400 Ridgeland Road Ste 1, COCKEYSVILLE |
| State: | MD |
| Postal Code: | 21030 |
| Phone Number: | 4106286120 |
| Fax Number: | 4106289825 |
| NPI Enumeration Date: | 10/02/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | LCA044 |
| 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: | |