| Northstar Academy Llc | |
|
12300 Twinbrook Pkwy Suite 250 Rockville MD 20852-1606 | |
| (301) 509-9033 | |
| Not Available |
| Full Name | Northstar Academy Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 12300 Twinbrook Pkwy, Rockville, Maryland |
| Authorized Official Name and Position | Gale Saler (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 3015099033 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northstar Academy Llc 12300 Twinbrook Pkwy Suite 250 Rockville MD 20852-1606 Ph: (301) 509-9033 | Northstar Academy Llc 12300 Twinbrook Pkwy Suite 250 Rockville MD 20852-1606 Ph: (301) 509-9033 |
| NPI Number | 1821403395 |
|---|---|
| Provider Enumeration Date | 06/24/2014 |
| Last Update Date | 06/24/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821403395 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LC1345 (Maryland) | Secondary |
| 251S00000X | Community/behavioral Health | LC1345 (Maryland) | Primary |
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