Healthcare Provider Details

I. General information

NPI: 1538227202
Provider Name (Legal Business Name): FRIENDS RESEARCH INSTITUTE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/05/2006
Last Update Date: 07/17/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3902 ANNAPOLIS RD
LANSDOWNE MD
21227-2210
US

IV. Provider business mailing address

1040 PARK AVE SUITE 103
BALTIMORE MD
21201-5633
US

V. Phone/Fax

Practice location:
  • Phone: 410-789-2647
  • Fax: 410-789-8364
Mailing address:
  • Phone: 410-837-3977
  • Fax: 410-752-4218

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State

VIII. Authorized Official

Name: MRS. SUSAN ANN TANGIRES
Title or Position: DIRECTOR
Credential: LCPC, LCADC
Phone: 410-789-2647