MEDICARE: ANOTHER WAY, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM2800X	Methadone Clinic	904939	MD

General Provider Information

NPI Number	:	1326432360
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANOTHER WAY, INC

Provider Business Mailing Address
First Line	:	1363 HOLTON LN
Second Line	:
City	:	TAKOMA PARK
State	:	MD
Zip	:	20912-7511
Country	:	US
Telephone Number	:	301-434-2622
Fax Number	:	301-434-2644

Provider Business Practice Location Address
First Line	:	1363 HOLTON LN
Second Line	:
City	:	TAKOMA PARK
State	:	MD
Zip	:	20912-7511
Country	:	US
Telephone Number	:	301-434-2622
Fax Number	:	301-434-2644

Authorized Official
Title or Position	:	PRESIDENT
Name	:	NEAL BERCH
Credential	:
Telephone Number	:	301-434-2622

Provider Enumeration Date	:	03/27/2015
Last Update Date	:	03/27/2015

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Directions to “ANOTHER WAY, INC ” Practice Location

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