Provider Demographics
NPI:1972856045
Name:FRIENDS RESEARCH INSTITUTE, INC.
Entity Type:Organization
Organization Name:FRIENDS RESEARCH INSTITUTE, INC.
Other - Org Name:EPOCH COUNSELING CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:TANGIRES
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC, LCADC
Authorized Official - Phone:410-744-4661
Mailing Address - Street 1:1040 PARK AVE
Mailing Address - Street 2:SUITE 103
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21201-5633
Mailing Address - Country:US
Mailing Address - Phone:410-837-3977
Mailing Address - Fax:410-752-4218
Practice Address - Street 1:1107 N POINT BLVD
Practice Address - Street 2:SUITE 205
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21224-3420
Practice Address - Country:US
Practice Address - Phone:410-284-3070
Practice Address - Fax:410-285-3848
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FRIENDS RESEARCH INSTITUTE, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-10-26
Last Update Date:2012-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD56435Medicaid
MD114351Medicaid
MD024A OR 57361101Medicare UPIN
MD56435Medicaid
MDMY2Medicare UPIN