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DAVID'S LOFT CLINICAL PROGRAMS NPI 1285175273


NPI Information

NPI: 1285175273
Provider Name: DAVID'S LOFT CLINICAL PROGRAMS
Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

CLIA Number: 21D2141863

Address:
2641 MARYLAND AVE
BALTIMORE, MD
ZIP 21218
Phone: (410) 800-4226
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DAVID'S LOFT CLINICAL PROGRAMS is an addiction (substance use disorder) counselor in Baltimore, MD. DAVID'S LOFT CLINICAL PROGRAMS NPI is 1285175273. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2641 MARYLAND AVE
BALTIMORE, MD
ZIP 21218-518
Phone: (410) 800-4226

The provider's authorized official is David Henry Thompson .
The authorized official title is Ceo and has the following contact phone number (410) 800-4226.

The CLIA number assigned to this NPI record is 21D2141863 - other - substance abuse with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 3/10/2017 and was last updated on 2/15/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YA0400XCounselorAddiction (Substance Use Disorder)Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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