Organization Name: | DEALE ONE STEP RECOVERY SERVICES |
NPI Number: | 1568892834 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KAREN KEMP (CLINICA ADMINISTRATOR) |
Mailing Address: | 113 E Chesapeake Beach Rd Suite 101 Owings |
State: | MD US |
Postal Code: | 207363535 |
Phone Number: | 4436076207 |
Fax Number: | 4436076208 |
NPI Enumeration Date: | 11/22/2013 |
NPI Last Update Date: | 11/22/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | LC1644 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |