Provider Demographics
NPI:1508916099
Name:ALTERNATIVE DRUG AND ALCOHOL COUNSELING
Entity Type:Organization
Organization Name:ALTERNATIVE DRUG AND ALCOHOL COUNSELING
Other - Org Name:ADAC
Other - Org Type:Other Name
Authorized Official - Title/Position:PROGRAM DIRECTOR/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEANNA
Authorized Official - Middle Name:K
Authorized Official - Last Name:BAILEY
Authorized Official - Suffix:
Authorized Official - Credentials:SAP, CAC-AD, NCAC-II
Authorized Official - Phone:301-766-0065
Mailing Address - Street 1:217 GLENN ST
Mailing Address - Street 2:401
Mailing Address - City:CUMBERLAND
Mailing Address - State:MD
Mailing Address - Zip Code:21502-2560
Mailing Address - Country:US
Mailing Address - Phone:301-729-0340
Mailing Address - Fax:301-729-0341
Practice Address - Street 1:217 GLENN ST
Practice Address - Street 2:401
Practice Address - City:CUMBERLAND
Practice Address - State:MD
Practice Address - Zip Code:21502-2560
Practice Address - Country:US
Practice Address - Phone:301-729-0340
Practice Address - Fax:301-729-0341
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-10
Last Update Date:2021-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD15657261QR0405X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder