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:
Map and Directions
Authorized official contact:
Name: Baird, Travis A Nurse Practitioner (NP)
Phone: (443) 430-2998

Health care specialties

SpecialtyCodeLicense #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 last year

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 1730892035 NPPES
Maryland MEDICAID 699298601

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