JEWISH ADDICTION SERVICES NPI 1578612891

NPI Information

NPI: 1578612891
Provider Name: JEWISH ADDICTION SERVICES
Classification: Clinic/Center - 261QR0405X
Specialization: Rehabilitation, Substance Use Disorder
Entity Type: Organization
Other Name: JEWISH BIG BROTHER BIG SISTER LEAGUE
Address: 5750 PARK HEIGHTS AVE
SUITE 286
BALTIMORE, MD
ZIP 21215
Phone: (410) 843-7575

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NPI Details

JEWISH ADDICTION SERVICES is a rehabilitation and substance use disorder clinic center in Baltimore, MD. JEWISH ADDICTION SERVICES NPI is 1578612891. The provider is registered as an organization entity type.
The provider Other Name Is Jewish Big Brother Big Sister League.

The provider's business location address is:

5750 PARK HEIGHTS AVE
SUITE 286
BALTIMORE, MD
ZIP 21215-930
Phone: (410) 843-7575
Fax: (410) 484-3003

The provider's authorized official is Eileen R. Katz .
The authorized official title is Recovery Services Coordinator and has the following contact phone number (410) 843-7452.

The enumeration date for this NPI number is 1/9/2007 and was last updated on 8/22/2020.

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
1	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	15588	MARYLAND	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	AK40	OTHER	MARYLAND	PROVIDER TYPE NUMBER

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: 11/21/2025

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