Provider Demographics
NPI:1679645832
Name:RESOLUTIONS REHABILITATION AGENCY, LLC
Entity Type:Organization
Organization Name:RESOLUTIONS REHABILITATION AGENCY, LLC
Other - Org Name:RESOLUTIONS REHABILITATION, LLC
Other - Org Type:Other Name
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LENUS
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:LEDET
Authorized Official - Suffix:
Authorized Official - Credentials:JSD
Authorized Official - Phone:301-772-6817
Mailing Address - Street 1:7339 LANDOVER RD
Mailing Address - Street 2:
Mailing Address - City:LANDOVER
Mailing Address - State:MD
Mailing Address - Zip Code:20785-1802
Mailing Address - Country:US
Mailing Address - Phone:301-772-6817
Mailing Address - Fax:301-772-6818
Practice Address - Street 1:7339 LANDOVER RD
Practice Address - Street 2:
Practice Address - City:LANDOVER
Practice Address - State:MD
Practice Address - Zip Code:20785-1802
Practice Address - Country:US
Practice Address - Phone:301-772-6817
Practice Address - Fax:301-772-6818
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health