Innovative Therapeutic Services | |
14440 Cherry Lane Ct 208 Laurel MD 20707-4946 | |
(301) 604-1458 | |
(301) 604-1459 |
Full Name | Innovative Therapeutic Services |
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Speciality | Community/behavioral Health |
Location | 14440 Cherry Lane Ct, Laurel, Maryland |
Authorized Official Name and Position | Misty Cromartie (CEO) |
Authorized Official Contact | 3016044826 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Innovative Therapeutic Services 14440 Cherry Lane Ct 208 Laurel MD 20707-4946 Ph: (301) 604-1458 | Innovative Therapeutic Services 14440 Cherry Lane Ct 208 Laurel MD 20707-4946 Ph: (301) 604-1458 |
NPI Number | 1811331937 |
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Provider Enumeration Date | 04/19/2013 |
Last Update Date | 04/19/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1811331937 | NPI | - | NPPES |
420981800 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (Maryland) | Primary |
Innovative Therapeutic Services, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 14440 Cherry Lane Ct, Suite 208, Laurel, MD 20707 Phone: 301-604-1458 | |
Innovative Therapeutic Services, Corp. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 14440 Cherry Lane Ct, 208, Laurel, MD 20707 Phone: 301-604-1458 | |
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Mayor And City Council Of Laurel Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 422 Montgomery St, Laurel, MD 20707 Phone: 240-294-1304 Fax: 301-617-2869 |