Provider Demographics
NPI: | 1417440157 |
---|---|
Name: | ABOVE ALL ODDS |
Entity type: | Organization |
Organization Name: | ABOVE ALL ODDS |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | C.E.O. |
Authorized Official - Prefix: | MR |
Authorized Official - First Name: | TURNER |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | RASCOE |
Authorized Official - Suffix: | III |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 202-210-4962 |
Mailing Address - Street 1: | 139 CARNELIARD CT |
Mailing Address - Street 2: | |
Mailing Address - City: | PIKESVILLE |
Mailing Address - State: | MD |
Mailing Address - Zip Code: | 21208-3342 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 202-210-4962 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 11 E LEXINGTON ST STE 400 |
Practice Address - Street 2: | |
Practice Address - City: | BALTIMORE |
Practice Address - State: | MD |
Practice Address - Zip Code: | 21202-1723 |
Practice Address - Country: | US |
Practice Address - Phone: | 443-708-5699 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2018-06-07 |
Last Update Date: | 2018-12-06 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 251S00000X | Agencies | Community/Behavioral Health | ||
No | 101YA0400X | Behavioral Health & Social Service Providers | Counselor | Addiction (Substance Use Disorder) | Group - Multi-Specialty |
No | 101YM0800X | Behavioral Health & Social Service Providers | Counselor | Mental Health | Group - Multi-Specialty |
No | 104100000X | Behavioral Health & Social Service Providers | Social Worker | Group - Multi-Specialty | |
No | 106H00000X | Behavioral Health & Social Service Providers | Marriage & Family Therapist | Group - Multi-Specialty | |
No | 2084P0800X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Psychiatry | Group - Multi-Specialty |
No | 261QM0801X | Ambulatory Health Care Facilities | Clinic/Center | Mental Health (Including Community Mental Health Center) | |
No | 261QM0850X | Ambulatory Health Care Facilities | Clinic/Center | Adult Mental Health | |
No | 261QM0855X | Ambulatory Health Care Facilities | Clinic/Center | Adolescent and Children Mental Health | |
No | 261QR0405X | Ambulatory Health Care Facilities | Clinic/Center | Rehabilitation, Substance Use Disorder | |
No | 324500000X | Residential Treatment Facilities | Substance Abuse Rehabilitation Facility | ||
No | 3245S0500X | Residential Treatment Facilities | Substance Abuse Rehabilitation Facility | Substance Abuse Treatment, Children |