Provider Demographics
NPI:1386375301
Name:RRRS EACH ONE TEACH ONE HEALTHCARE SERVICES LLC
Entity type:Organization
Organization Name:RRRS EACH ONE TEACH ONE HEALTHCARE SERVICES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:TONY
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAW
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC, CAC-AD
Authorized Official - Phone:443-629-5515
Mailing Address - Street 1:3202 SPAULDING AVE
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21215-5811
Mailing Address - Country:US
Mailing Address - Phone:443-629-5515
Mailing Address - Fax:667-401-1032
Practice Address - Street 1:3202 SPAULDING AVE
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21215-5811
Practice Address - Country:US
Practice Address - Phone:443-629-5515
Practice Address - Fax:667-401-1032
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-21
Last Update Date:2023-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty