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Contact Information

DRUG TREATMENT CTR - PSYCH. ASSOC.
701 W PRATT ST
3RD FLR.
BALTIMORE, MD21201-1023
 Phone: 410-328-2539
 Fax: 410-328-8552
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction Psychiatry

2084P0802X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for DRUG TREATMENT CTR - PSYCH. ASSOC.

NPI Number 1659389674
LBN Legal business name DRUG TREATMENT CTR - PSYCH. ASSOC.
Authorized official ANTHONY BIBBO - (SENIOR ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 08/04/2006
Last updated 06/24/2008 - About 18 years ago
Identifiers
MD Medicaid 401610600
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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