Organization · Type 2 NPI

Integrated Medical Clinic

Substance Abuse Rehabilitation Facility · Lanham, MD

NPI number 1205514478 Active

Practice location

7404 Executive Pl Ste 100
Lanham, MD 20706-6237

Fax (240) 260-3830

Mailing address

3613 Celeste Bruce Cir
Bowie, MD 20721-2287

Specialties and licenses

TaxonomyCodeLicense
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405XNone listed
Substance Abuse Rehabilitation Facility Primary 324500000XNone listed

Substance Abuse Rehabilitation Facility: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

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About NPI 1205514478

Integrated Medical Clinic's National Provider Identifier is 1205514478, issued on Jul 7, 2023. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Lanham, MD. The record was last updated on Jul 7, 2023.