Holistic Treatment Center

LBN: Holistic Treatment Center
Holistic Treatment Center is an health care organization with primary practice located at 3050 Crain Hwy Ste 200 , Waldorf MD 20601-2822. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Holistic Treatment Center can be contacted via phone (571) 490-1421, or through Butler, Renee via phone (571) 490-1421.

Contact Information

Primary practice address
3050 Crain Hwy Ste 200 Waldorf MD 20601-2822
Fax: (571) 490-1421
Website:
Authorized official contact:
Name: Butler, Renee LCSW-CQ

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X 20563 Maryland

Profile Details

NPI number 1932639663
LBN Legal business name Holistic Treatment Center
DBA Doing business as
Authorized official Butler, Renee LCSW-CQ
Entity Organization
Organization subpart 1 No
Enumeration date Jun 15th, 2017
Last updated Jun 15th, 2017 - about 7 years 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 1932639663 NPPES
Maryland MEDICAID 103795100

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