Glass Substance Abuse Programs

NPI 1093071920 - Clinic/Center - 261QM2800X

NPI Details
NPI 1093071920
Enumeration Date 04/04/2012
Last Updated 06/24/2015
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name DAVID K DAVID
Position CEO
Phone (410) 354-2800
Fax (410) 354-2851
Practice Location
2490 GILES RD
BALTIMORE MD, 21225-1011, US
Phone (410) 354-2800
Fax (410) 354-2851
Business Location
401 E CORPORATE DR
SUITE 220
LEWISVILLE TX, 75057, US
Phone (214) 379-3347
Fax (214) 379-3324
Toxanomy
Taxonomy Code 261QM2800X
License State Maryland
License Number 903985
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According to our database, Glass Substance Abuse Programs NPI is 1093071920, taxonomy code is 261QM2800X and license number is 903985, license state is located at Maryland. Glass Substance Abuse Programs physically located at 2490 Giles Rd, Baltimore MD, 21225-1011. NPI Number 1033115704 has the healthcare provider type.

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1093071920 NPI number is provided on an as is basis without warranty of any kind. 1093071920 is maintained by the National Plan & Provider Enumeration System. The contents of Glass Substance Abuse Programs are for informational purposes only.