David'S Loft Clinical Programs - Clinic/Center in Baltimore, Maryland | ProviderWire

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Clinic/Center
Maryland
Baltimore
David'S Loft Clinical Programs

Legal Business Name

David'S Loft Clinical Programs

Also Known As

David'S Loft Center For Outpatient Substance Use

NPI Number

1255178885

NPI Type

Organization

Enumeration Date

07/11/2024

Specialties

(Taxonomies)

Name

Addiction (Substance Use Disorder) Counselor

Code

261Q00000X

101YA0400X

Primary Taxonomy

Yes

No

Contact
Information

Purpose

Mailing

Location

Address

2641 MARYLAND AVE

2641 MARYLAND AVE

City

Baltimore

Baltimore

State

MD

MD

Postal Code

21218-4518

21218-4518

Country

US

US

Telephone Number

N/A

(410) 800-4226

Authorized Official

Name

Dr. David Thompson

Title or Position

CEO

Telephone Number

(410) 800-4226

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/11/2024

Provider Address

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