MEDICARE: ALLIANCE, 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	251S00000X	Community/Behavioral Health Agency

Other Identifiers

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

General Provider Information

NPI Number	:	1689839201
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALLIANCE, INC

Provider Business Mailing Address
First Line	:	8003 CORPORATE DR
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21236-4984
Country	:	US
Telephone Number	:	410-282-5900
Fax Number	:	410-282-3083

Provider Business Practice Location Address
First Line	:	9201 PHILADELPHIA RD
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21237-4318
Country	:	US
Telephone Number	:	410-574-7700
Fax Number	:	410-574-1522

Authorized Official
Title or Position	:	CFO
Name	:	DON BILES
Credential	:
Telephone Number	:	410-282-5900

Provider Enumeration Date	:	07/23/2008
Last Update Date	:	02/06/2015

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Directions to “ALLIANCE, INC ” Practice Location

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