Provider Demographics
NPI:1457656555
Name:ALLIANCE, INC
Entity Type:Organization
Organization Name:ALLIANCE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:DON
Authorized Official - Middle Name:
Authorized Official - Last Name:BILES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-282-5900
Mailing Address - Street 1:8003 CORPORATE DR
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21236-4984
Mailing Address - Country:US
Mailing Address - Phone:410-282-5900
Mailing Address - Fax:410-282-3083
Practice Address - Street 1:125 S PHILADELPHIA BLVD
Practice Address - Street 2:
Practice Address - City:ABERDEEN
Practice Address - State:MD
Practice Address - Zip Code:21001-3205
Practice Address - Country:US
Practice Address - Phone:410-282-5900
Practice Address - Fax:410-282-3083
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-20
Last Update Date:2015-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD442209100Medicaid