Ronald Gray Medlin, Institute Of Life And Health in Upper Marlboro - Addiction (substance Use Disorder)
Ronald Gray Medlin, Institute Of Life And Health - NPI 1437375615
Ronald Gray Medlin, Institute Of Life And Health is a Addiction (substance Use Disorder) in Upper Marlboro, Maryland. Ronald Gray Medlin, Institute Of Life And Health practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Ronald Gray Medlin, Institute Of Life And Health is 1437375615. The last update date is 2013-03-19.
Ronald Gray Medlin, Institute Of Life And Health's current location address is 5311 Water St, Upper Marlboro, Maryland. You can contact this provider via phone number 3016273007. The mailing address for Ronald Gray Medlin, Institute Of Life And Health is 5311 Water St, Upper Marlboro, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Ronald Gray Medlin, Institute Of Life And Health |
|---|---|
| Address | 5311 Water St, Upper Marlboro, Maryland |
| Phone Number | 3016273007 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER,PROG |
|---|---|
| Authorized Official Name | Medlin Gray Ronald |
| Credentials | PH.D., LCA |
| Telephone Number | 3016273007 |
NPI Number Detail
| NPI Number | 1437375615 |
|---|---|
| Provider Enumeration Date | 2007-04-17 |
| Last Updated Date | 2013-03-19 |
Provider Mailing Address Detail
| Address | 5311 Water St |
|---|---|
| City | Upper Marlboro |
| State | Maryland (MD) |
| Post Code | 207723056 |
| Phone Number | 3016273007 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | LCA352 |
|
Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| GQ24RC | MD | BLUECROSS BLUESHIELD |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Ronald Gray Medlin, Institute Of Life And Health by the Centers for Medicare & Medicaid Services?
The Ronald Gray Medlin, Institute Of Life And Health has been issued the NPI (National Provider Identifier) 1437375615 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Ronald Gray Medlin, Institute Of Life And Health is physically located?
The Ronald Gray Medlin, Institute Of Life And Health is physically situated at the following address: 5311 Water St, Upper Marlboro, MD, 207723056.
What is the Ronald Gray Medlin, Institute Of Life And Health's specialty and taxonomy code?
The Ronald Gray Medlin, Institute Of Life And Health's specialty is Addiction (substance Use Disorder), and the corresponding taxonomy code is 101Ya0400X.
On what date did the Ronald Gray Medlin, Institute Of Life And Health receive its 1437375615 assignment from the Centers for Medicare & Medicaid Services?
The Ronald Gray Medlin, Institute Of Life And Health was assigned its 1437375615 by the Centers for Medicare & Medicaid Services on 2007-04-17.
When was the information pertaining to Ronald Gray Medlin, Institute Of Life And Health most recently updated or revised?
The details related to Ronald Gray Medlin, Institute Of Life And Health, including its address, specialty, and other relevant information, were last updated or revised on 2013-03-19.
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