Provider Demographics
NPI:1215528047
Name:POSITIVE INTERVENTIONS, INC.
Entity type:Organization
Organization Name:POSITIVE INTERVENTIONS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:
Authorized Official - Last Name:KEBELA
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW-C
Authorized Official - Phone:443-854-1065
Mailing Address - Street 1:330 EAST 25TH STREET
Mailing Address - Street 2:2ND FLOOR, SUITE A
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21218-5669
Mailing Address - Country:US
Mailing Address - Phone:443-854-1065
Mailing Address - Fax:
Practice Address - Street 1:330 EAST 25TH STREET
Practice Address - Street 2:2ND FLOOR, SUITE A
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21218-5669
Practice Address - Country:US
Practice Address - Phone:443-854-1065
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-03
Last Update Date:2022-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health