Whalio Doctors

NPI 1790824472

Reality, INC.

Organisation Substance Abuse Rehabilitation Facility Laurel, MD

Practice location

Address
419 Main St, Laurel, MD 20707-4127
Phone
(301) 490-5551
Fax
(301) 490-2517

Authorised official

Name
Victoria Kennedy Tyson
Title
Executive Director
Phone
(301) 490-5551

Registered specialties

Substance Abuse Rehabilitation Facility Primary
Residential Treatment Facilities Taxonomy 324500000X Licence 903035 (MD)

Registry record

NPI
1790824472
Entity type
Organization
NPI issued
6 Feb 2007
Record last updated
22 Aug 2020

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.