NPI 1003368945

Rts Edgewood

Organisation Methadone Clinic Edgewood, MD

Practice location

Address: 2205 Pulaski Hwy, Edgewood, MD 21040
Phone: (443) 691-5358
Mailing address: 2205 Pulaski Hwy, Edgewood, MD 21040-1601

Authorised official

Name: Michael Harrison Oliver
Title: Principal
Phone: (443) 691-5358

Registered specialties

Methadone Clinic Primary

Ambulatory Health Care Facilities Taxonomy 261QM2800X

Other Clinic/Center providers in Maryland →

Registry record

NPI: 1003368945
Entity type: Organization
NPI issued: 26 Oct 2016
Record last updated: 15 Sep 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.