Baltimore Detox Center Llc

LBN: Baltimore Detox Center Llc
Baltimore Detox Center Llc is an health care organization with primary practice located at 1825 Woodlawn Dr , Woodlawn MD 21207-4080. The organization recently has only one registered license in Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, which is considered as the primary health care specialty. Baltimore Detox Center Llc can be contacted via phone (410) 457-7396, or through Heaberlin, Allison via phone (410) 415-3385.

Contact Information

Primary practice address
1825 Woodlawn Dr Woodlawn MD 21207-4080
Phone: (410) 457-7396
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Heaberlin, Allison
Phone: (410) 415-3385

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X

Profile Details

NPI number 1275115495
LBN Legal business name Baltimore Detox Center Llc
DBA Doing business as
Authorized official Heaberlin, Allison
Entity Organization
Organization subpart 1 No
Enumeration date Apr 27th, 2021
Last updated Jan 12th, 2024 - about 11 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275115495 NPPES
Maryland MEDICAID 882570000

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