Provider Demographics
NPI:1457787988
Name:ABILITIES NETWORK, INC
Entity Type:Organization
Organization Name:ABILITIES NETWORK, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MS
Authorized Official - First Name:LEE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:KINGHAM
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:410-828-7700
Mailing Address - Street 1:8503 LA SALLE RD
Mailing Address - Street 2:
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21286-5915
Mailing Address - Country:US
Mailing Address - Phone:410-828-7700
Mailing Address - Fax:410-828-7708
Practice Address - Street 1:8503 LA SALLE RD
Practice Address - Street 2:
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21286-5915
Practice Address - Country:US
Practice Address - Phone:410-828-7700
Practice Address - Fax:410-828-7708
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-16
Last Update Date:2013-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health