Innovative Treatment Centers
LBN: Innovative Treatment Centers
Innovative Treatment Centers is an health care organization with primary practice located at 325 Hospital Dr Ste 106 , Glen Burnie MD 21061-5806. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Allopathic & Osteopathic Physicians / Addiction Medicine is the primary health care specialty.
Innovative Treatment Centers can be contacted via phone (917) 873-5716, or through Baird, Travis A via phone (443) 430-2998.
Contact Information
Primary practice address
325 Hospital Dr Ste 106
Glen Burnie MD 21061-5806
Phone: (917) 873-5716
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Addiction Medicine | 207QA0401X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X |
Profile Details
| NPI number | 1730892035 |
|---|---|
| LBN Legal business name | Innovative Treatment Centers |
| DBA Doing business as | |
| Authorized official | Baird, Travis A Nurse Practitioner (NP) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 2nd, 2023 |
| Last updated | May 19th, 2023 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730892035 | NPPES |
| Maryland | MEDICAID | 699298601 |
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