Provider Demographics
NPI:1639369101
Name:CENTRAL MARYLAND ADDICTION COUNSELING LLC
Entity Type:Organization
Organization Name:CENTRAL MARYLAND ADDICTION COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:ERIC
Authorized Official - Last Name:ALPERT
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LCPC
Authorized Official - Phone:410-365-1228
Mailing Address - Street 1:8659 BALTIMORE NATIONAL PIKE
Mailing Address - Street 2:SUITE M
Mailing Address - City:ELLICOTT CITY
Mailing Address - State:MD
Mailing Address - Zip Code:21043-4126
Mailing Address - Country:US
Mailing Address - Phone:410-750-2425
Mailing Address - Fax:410-750-2426
Practice Address - Street 1:8659 BALTIMORE NATIONAL PIKE
Practice Address - Street 2:SUITE M
Practice Address - City:ELLICOTT CITY
Practice Address - State:MD
Practice Address - Zip Code:21043-4126
Practice Address - Country:US
Practice Address - Phone:410-750-2425
Practice Address - Fax:410-750-2426
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-30
Last Update Date:2007-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD02178101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty