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Stacey Michelle Landrie
Substance Abuse Rehabilitation Facility in Cambridge, Maryland
NPI 1972081842

Stacey Michelle Landrie is a Substance Abuse Rehabilitation Facility based in Cambridge, MD. Stacey Michelle Landrie practices in Cambridge, MD. The NPI Number for Stacey Michelle Landrie is 1972081842 and holds a License No. (Maryland).

The current practice location address for Stacey Michelle Landrie is 828 Airpax Rd Ste 300, Cambridge, MD and can be reached out via phone at 410-901-1333.

Location: 828 Airpax Rd Ste 300, Cambridge, MD, 21613-6401
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972081842
Provider Name
Stacey Michelle Landrie
Credential
Provider Entity Type
Individual
Gender
Female
Address
828 Airpax Rd Ste 300, Cambridge, MD, 21613-6401
Phone Number
410-901-1333
Fax Number
Provider Enumeration Date
08/02/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1770906901 05 MD
institution
Provider Business Practice Location Address Details
Address
828 Airpax Rd Ste 300
City
Cambridge
State
Maryland
Zip
21613-6401
Phone Number
410-901-1333
Fax Number
person
Provider Business Mailing Address Details
Address
828 Airpax Rd Ste 300
City
Cambridge
State
Maryland
Zip
21613-6401
Phone Number
410-901-1333
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
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Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
()
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
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