Provider Demographics
NPI:1255660296
Name:ADDICTIONS ASSOCIATES LLC
Entity Type:Organization
Organization Name:ADDICTIONS ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:LISA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:CIMETTA
Authorized Official - Suffix:
Authorized Official - Credentials:CSCAD
Authorized Official - Phone:410-548-7500
Mailing Address - Street 1:323 BROAD ST
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:MD
Mailing Address - Zip Code:21801-4949
Mailing Address - Country:US
Mailing Address - Phone:410-548-7500
Mailing Address - Fax:410-548-7544
Practice Address - Street 1:323 BROAD ST
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:MD
Practice Address - Zip Code:21801-4949
Practice Address - Country:US
Practice Address - Phone:410-548-7500
Practice Address - Fax:410-548-7544
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-22
Last Update Date:2009-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD903650251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health