NPI 1326521089
Michael's Loft Residential Program
Practice location
- Address
- 743 Old Riverside Rd, Brooklyn Park, MD 21225-2660
- Phone
- (443) 388-9654
- Fax
- (443) 388-9367
- Mailing address
- 1800 N Charles St STE 904, Baltimore, MD 21201-5987
Authorised official
- Name
- Aletta Pesi
- Title
- Owner
- Phone
- (443) 416-5474
Registered specialties
Substance Use Disorder Rehabilitation Hospital Unit
Primary
Registry record
- NPI
- 1326521089
- Entity type
- Organization
- NPI issued
- 10 Sep 2018
- Record last updated
- 10 Sep 2018
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.