| Innovative Therapeutic Services, Corp. | |
|
14440 Cherry Lane Ct 208 Laurel MD 20707-4946 | |
| (301) 604-1458 | |
| Not Available |
| Full Name | Innovative Therapeutic Services, Corp. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 14440 Cherry Lane Ct, Laurel, Maryland |
| Authorized Official Name and Position | Misty Cromartie Hammons (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 3016041458 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Innovative Therapeutic Services, Corp. 14440 Cherry Lane Ct 208 Laurel MD 20707-4946 Ph: (301) 604-1458 | Innovative Therapeutic Services, Corp. 14440 Cherry Lane Ct 208 Laurel MD 20707-4946 Ph: (301) 604-1458 |
| NPI Number | 1003293341 |
|---|---|
| Provider Enumeration Date | 05/06/2015 |
| Last Update Date | 05/06/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003293341 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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