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General NPI Number Information
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NPI Number | 1508464587
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Entity Type | Organization
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Legal Business Name | CENTER FOR YOUTH AND FAMILIES INC
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Dates
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Enumeration Date | 10/13/2020
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Last Update Date | 02/13/2026
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Provider Practice Location Address
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Address Line | 217 E BALTIMORE ST UNITS A&B
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City | BALTIMORE
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State | MD
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Zip | 21202-5771
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Country | US
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Telephone | 410-908-1638
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Fax |
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Provider Business Mailing Address
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Address Line | 217 E BALTIMORE ST
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City | BALTIMORE
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State | MD
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Zip | 21202-5771
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Country | US
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Telephone | 410-908-1638
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | GLENICE SHABAZZ
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Credential |
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Telephone | 410-908-1638
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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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