Garrett Treatment Center, Llc | |
233 East Alder Street Suite A Oakland MD 21550 | |
(301) 616-6042 | |
Not Available |
Full Name | Garrett Treatment Center, Llc |
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Speciality | Clinic/Center |
Location | 233 East Alder Street, Oakland, Maryland |
Authorized Official Name and Position | Richard Perry (PHYSICIAN) |
Authorized Official Contact | 3016166042 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Garrett Treatment Center, Llc 233 E Alder St Ste A Oakland MD 21550-1513 Ph: () - | Garrett Treatment Center, Llc 233 East Alder Street Suite A Oakland MD 21550 Ph: (301) 616-6042 |
NPI Number | 1992221055 |
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Provider Enumeration Date | 08/20/2017 |
Last Update Date | 09/25/2017 |
Medicare PECOS PAC ID | 9436416864 |
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Medicare Enrollment ID | O20171120002315 |
Identifier | Type | State | Issuer |
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1992221055 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Richard G Perry |
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Provider Type | Practitioner - Addiction Medicine |
Provider Identifiers | NPI Number: 1710930805 PECOS PAC ID: 9032192802 Enrollment ID: I20040611000569 |
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