NPI 1144402975

Malcom Grow

Organisation Substance Use Disorder Rehabilitation Hospital Unit Hyattsville, MD

Practice location

Address: 711 Romford Dr, Hyattsville, MD 20785-5940
Phone: (301) 808-5466
Mailing address: 503 Spectator Aveune, Landover, MD 20785

Authorised official

Name: Trina Lynn Tayoor
Title: Social Worker
Phone: (301) 808-5466

Registered specialties

Substance Use Disorder Rehabilitation Hospital Unit Primary

Hospital Units Taxonomy 276400000X Licence 612879 (MD)

Other Rehabilitation, Substance Use Disorder Unit providers in Maryland →

Registry record

NPI: 1144402975
Entity type: Organization
NPI issued: 4 Dec 2007
Record last updated: 4 Dec 2007

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.