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IMPACT DUI ILC NPI 1326646878


NPI Information

NPI: 1326646878
Provider Name: IMPACT DUI, ILC

Doing Business As: RIGHT TURN IMPACT

Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
1209 LIBERTY RD UNIT 104
ELDERSBURG, MD
ZIP 21784
Phone: (410) 581-4900
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IMPACT DUI, ILC is a substance abuse rehabilitation facility in Eldersburg, MD. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. IMPACT DUI, ILC NPI is 1326646878. The provider is registered as an organization entity type.
The provider Is Doing Business As Right Turn Impact.

The provider's business location address is:

1209 LIBERTY RD UNIT 104
ELDERSBURG, MD
ZIP 21784-980
Phone: (410) 581-4900

The provider's authorized official is Daniel Brannon .
The authorized official title is Ceo and has the following contact phone number (410) 581-4900.

The enumeration date for this NPI number is 10/15/2020 and was last updated on 3/4/2021.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR0405XClinic/CenterRehabilitation, Substance Use DisorderNo
2324500000XSubstance Abuse Rehabilitation FacilityYes

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: 5/5/2024

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