Provider Demographics
NPI:1376911586
Name:WIN TEAM LLC
Entity Type:Organization
Organization Name:WIN TEAM LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:ALFORD
Authorized Official - Middle Name:
Authorized Official - Last Name:LAWS
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:443-858-8240
Mailing Address - Street 1:33 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:PORT DEPOSIT
Mailing Address - State:MD
Mailing Address - Zip Code:21904-1771
Mailing Address - Country:US
Mailing Address - Phone:443-747-4021
Mailing Address - Fax:443-747-4062
Practice Address - Street 1:33 S MAIN ST
Practice Address - Street 2:
Practice Address - City:PORT DEPOSIT
Practice Address - State:MD
Practice Address - Zip Code:21904-1771
Practice Address - Country:US
Practice Address - Phone:443-747-4021
Practice Address - Fax:443-747-4062
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-03
Last Update Date:2022-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health