Healthcare Provider Details

I. General information

NPI: 1740503069
Provider Name (Legal Business Name): FRIENDS RESEARCH INSTITUTE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/02/2010
Last Update Date: 03/02/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 INGLESIDE AVE
BALTIMORE MD
21228-1722
US

IV. Provider business mailing address

1040 PARK AVE SUITE 103
BALTIMORE MD
21201-5633
US

V. Phone/Fax

Practice location:
  • Phone: 410-744-4661
  • Fax: 410-744-9423
Mailing address:
  • Phone: 410-837-3977
  • Fax: 410-752-4218

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number903553
License Number StateMD

VIII. Authorized Official

Name: DR. FRANK J VOCCI
Title or Position: PRESIDENT
Credential: PH.D.
Phone: 410-837-3977