Organization Name: | I CAN'T WE CAN COUNSELING CENTER |
NPI Number: | 1366801466 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | THERESA THOMAS (CLINICAL DIRECTOR) |
Mailing Address: | 1438 Liberty Rd Sykesville |
State: | MD US |
Postal Code: | 217846493 |
Phone Number: | 4436094302 |
Fax Number: | |
NPI Enumeration Date: | 02/17/2016 |
NPI Last Update Date: | 04/12/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR0405X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rehabilitation, Substance Use Disorder |
Taxonomy Definition: |