Provider Demographics
NPI:1528012705
Name:ANOTHER WAY, INC.
Entity Type:Organization
Organization Name:ANOTHER WAY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:NEAL
Authorized Official - Middle Name:
Authorized Official - Last Name:BERCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-942-5054
Mailing Address - Street 1:11308 GRANDVIEW AVE
Mailing Address - Street 2:SECOND FLOOR
Mailing Address - City:WHEATON
Mailing Address - State:MD
Mailing Address - Zip Code:20902-4682
Mailing Address - Country:US
Mailing Address - Phone:301-942-5054
Mailing Address - Fax:301-942-7376
Practice Address - Street 1:11308 GRANDVIEW AVE
Practice Address - Street 2:SECOND FLOOR
Practice Address - City:WHEATON
Practice Address - State:MD
Practice Address - Zip Code:20902-4682
Practice Address - Country:US
Practice Address - Phone:301-942-5054
Practice Address - Fax:301-942-7376
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD336245261QM2800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2800XAmbulatory Health Care FacilitiesClinic/CenterMethadone