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General NPI Number Information
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NPI Number | 1407507668
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Entity Type | Organization
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Legal Business Name | UPWARDS BOUNDS BEHAVIORAL HEALTH CENTER
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Dates
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Enumeration Date | 01/10/2022
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Last Update Date | 04/25/2022
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Provider Practice Location Address
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Address Line | 4000 W NORTHERN PKWY STE 200
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City | BALTIMORE
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State | MD
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Zip | 21215-4473
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Country | US
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Telephone | 301-752-7400
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Fax |
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Provider Business Mailing Address
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Address Line | 4000 W NORTHERN PKWY STE 200
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City | BALTIMORE
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State | MD
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Zip | 21215-4473
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Country | US
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Telephone | 301-752-7400
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Fax |
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Authorized Official
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Title or Position | CEO/ADMINISTRATOR
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Name | MS. ERICKA JONES
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Credential |
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Telephone | 301-752-7400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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