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General NPI Number Information
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NPI Number | 1447611751
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Entity Type | Organization
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Legal Business Name | NO TURNING BACK BEHAVIORAL HEALTH, INC
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Dates
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Enumeration Date | 03/14/2016
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Last Update Date | 03/14/2016
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Provider Practice Location Address
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Address Line | 5209 YORK RD
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City | BALTIMORE
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State | MD
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Zip | 21212-4225
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Country | US
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Telephone | 443-708-5249
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Fax | 443-708-5379
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Provider Business Mailing Address
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Address Line | 9116 SUNSET RIDGE RD
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City | RANDALLSTOWN
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State | MD
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Zip | 21133-3649
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Country | US
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Telephone | 443-744-9802
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Fax | 443-708-5279
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Authorized Official
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Title or Position | CEO
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Name | MR. ROBERT CARTER JR.
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Credential |
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Telephone | 443-744-9802
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 905295
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License Number State | MD
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