Addiction Recovery Services | |
8950 Rte 108 Suite 235 Columbia MD 21045-2273 | |
(410) 964-2771 | |
Not Available |
Full Name | Addiction Recovery Services |
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Speciality | Community/behavioral Health |
Location | 8950 Rte 108, Columbia, Maryland |
Authorized Official Name and Position | Thomas Patrick Benner (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 4109642771 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Addiction Recovery Services 8950 Rte 108 Suite 235 Columbia MD 21045-2273 Ph: (410) 964-2771 | Addiction Recovery Services 8950 Rte 108 Suite 235 Columbia MD 21045-2273 Ph: (410) 964-2771 |
NPI Number | 1861620239 |
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Provider Enumeration Date | 06/24/2009 |
Last Update Date | 06/24/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1861620239 | NPI | - | NPPES |
LCA157 | Other | MD | MD LICENSE |
410405600 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | LCA157 (Maryland) | Secondary |
251S00000X | Community/behavioral Health | 101YA0400X (Maryland) | Primary |
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