Provider Demographics
NPI:1952834004
Name:ABOVE IT ALL
Entity Type:Organization
Organization Name:ABOVE IT ALL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:ROCK
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:410-340-8824
Mailing Address - Street 1:638 N GILMOR ST
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21217-2101
Mailing Address - Country:US
Mailing Address - Phone:410-340-8824
Mailing Address - Fax:410-523-1434
Practice Address - Street 1:638 N GILMOR ST
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21217-2101
Practice Address - Country:US
Practice Address - Phone:410-340-8824
Practice Address - Fax:410-523-1434
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-05
Last Update Date:2022-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDMH-2293251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health