Organization · NPI-2

1st Alliance Behavioral Health & Wellness Center LLC

Case Management · Baltimore, MD

NPI number1730905670

StatusActive

Last updated in NPPESNov 25, 2024

Details

NPI: 1730905670
Entity type: Organization (NPI-2)
Legal business name: 1st Alliance Behavioral Health & Wellness Center LLC
Organization subpart: No
Enumeration date: Nov 25, 2024
Certification date: Nov 25, 2024
Last updated: Nov 25, 2024

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
251B00000X	Case Management	–	–	Yes
174200000X	Meals	–	–
177F00000X	Lodging	–	–
251E00000X	Home Health	–	–
251S00000X	Community/Behavioral Health	–	–
310400000X	Assisted Living Facility	–	–
311ZA0620X	Custodial Care Facility, Adult Care Home	–	–
320800000X	Community Based Residential Treatment Facility, Mental Illness	–	–
324500000X	Substance Abuse Rehabilitation Facility	–	–
343900000X	Non-emergency Medical Transport (VAN)	–	–
347C00000X	Private Vehicle	–	–

Other names

1st Alliance (Doing Business As)

Practice location

4 N Exeter St Ste 200
Baltimore, MD 21202-4711

Phone 410-905-9153

Mailing address

Po Box 850
Randallstown, MD 21133-0850

Phone 410-491-1917

Authorized official

Coral V Ross
Ceo
4104911917

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