Provider Demographics
NPI:1073282935
Name:AVARIS CONCEPTS. LLC
Entity Type:Organization
Organization Name:AVARIS CONCEPTS. LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:HUSHER
Authorized Official - Middle Name:LEON
Authorized Official - Last Name:HARRIS
Authorized Official - Suffix:II
Authorized Official - Credentials:
Authorized Official - Phone:240-393-1193
Mailing Address - Street 1:729 E PRATT ST STE 835
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21202-3562
Mailing Address - Country:US
Mailing Address - Phone:240-393-1193
Mailing Address - Fax:443-759-8849
Practice Address - Street 1:2915 E FEDERAL ST
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21213-3909
Practice Address - Country:US
Practice Address - Phone:240-393-1193
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-13
Last Update Date:2021-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes276400000XHospital UnitsRehabilitation, Substance Use Disorder Unit
Provider Identifiers
StateIdentifier IDID TypeIssuer
2915OtherN/A