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NPI Code Detail

MEDICARE: FRIENDS RESEARCH INSTITUTE, INC.

MEDICARE: FRIENDS RESEARCH INSTITUTE, 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
1101YA0400XAddiction (Substance Use Disorder) Counselor

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1609934355
Entity Type Code : Organization
Provider Name (Legal Business Name) : FRIENDS RESEARCH INSTITUTE, INC.
Provider Business Mailing Address
First Line : 1040 PARK AVE
Second Line : SUITE 103
City : BALTIMORE
State : MD
Zip : 21201-5633
Country : US
Telephone Number : 410-837-3977
Fax Number : 410-752-4218
Provider Business Practice Location Address
First Line : 800 INGLESIDE AVE
Second Line :
City : CATONSVILLE
State : MD
Zip : 21228-1722
Country : US
Telephone Number : 410-744-5937
Fax Number : 410-744-4674
Authorized Official
Title or Position : DIRECTOR
Name : MRS. SUSAN ANN TANGIRES
Credential : LCPC, LCADC
Telephone Number : 410-744-4661
Provider Enumeration Date : 12/05/2006
Last Update Date : 07/17/2012

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