Organization · Type 2 NPI
Innovative Treatment Centers, LLC
Psychiatric/Mental Health Nurse Practitioner · Frederick, MD
NPI number
1134052012
Active
Practice location
110 Baughmans Ln Ste 270
Frederick, MD 21702-4650
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
2 other providers at this address
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About NPI 1134052012
Innovative Treatment Centers, LLC's National Provider Identifier is 1134052012, issued on Jun 8, 2026. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Frederick, MD. The record was last updated on Jun 8, 2026.