Provider Demographics
NPI:1699522003
Name:QUALITY MOTIVATION
Entity type:Organization
Organization Name:QUALITY MOTIVATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:WISE
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:410-301-6787
Mailing Address - Street 1:2735 GREENMOUNT AVE
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21218-4445
Mailing Address - Country:US
Mailing Address - Phone:410-301-6787
Mailing Address - Fax:
Practice Address - Street 1:2735 GREENMOUNT AVE
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21218-4445
Practice Address - Country:US
Practice Address - Phone:410-301-6787
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-02
Last Update Date:2024-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty