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General NPI Number Information
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NPI Number | 1932061819
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Entity Type | Organization
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Legal Business Name | THE RENEWAL PROJECT
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Dates
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Enumeration Date | 11/28/2025
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Last Update Date | 11/28/2025
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Provider Practice Location Address
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Address Line | 208 S PULASKI ST STE 2G
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City | BALTIMORE
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State | MD
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Zip | 21223-2952
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Country | US
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Telephone | 443-203-8895
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Fax |
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Provider Business Mailing Address
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Address Line | 4024 COLBORNE RD
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City | BALTIMORE
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State | MD
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Zip | 21229-1903
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Country | US
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Telephone | 443-422-5095
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KHADEJAH MCDOUGALD
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Credential | LCSW-C
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Telephone | 443-422-5095
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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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