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Contact Information

ADDICTION MEDICATION CLINIC LLC
407 MALCOLM DR
WESTMINSTER, MD21157-6107
 Phone: 443-547-2964
 Fax: 443-417-2996
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Mental Health (Including Community Mental Health Center)

261QM0801X B4[14] Community Mental Health Center
Indicates primary specialty

NPI Profile & details for ADDICTION MEDICATION CLINIC LLC

NPI # 1386215705
LBN Legal business name ADDICTION MEDICATION CLINIC LLC
Authorized official RACHEL SAGI - (COO)
Entity Organization
Organization subpart 1 Yes
Enumeration date 07/07/2021
Last updated 05/22/2026 - About 3 weeks ago
Identifiers
MD Medicaid 698046500
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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