Organization · Type 2 NPI

Heritage Treatment Center Inc

Addiction Medicine (Internal Medicine) Physician · Baltimore, MD

NPI number 1568058196 Active

Practice location

4200 Edmondson Ave Ste 102
Baltimore, MD 21229-1600

Specialties and licenses

Taxonomy	Code	License
Addiction Medicine (Internal Medicine) Physician Primary	207RA0401X	None listed

Addiction Medicine (Internal Medicine) Physician: An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.

2 other providers at this address

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NPI record

NPI: 1568058196
Entity type: Organization (Type 2)
Issued: Dec 17, 2020
Last updated: Apr 4, 2025
Status: Active

Other names

<unavail>
Heritage Treatment Center · doing business as
Heritage Treatment Center · doing business as
Heritage Treatment Center Inc · doing business as
Heritage Treatment Center LLC · doing business as

Authorized official

Tiffany Lynnell Beane
Co-Owner
(443) 873-9389

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About NPI 1568058196

Heritage Treatment Center Inc's National Provider Identifier is 1568058196, issued on Dec 17, 2020. The primary taxonomy on file is Addiction Medicine (Internal Medicine) Physician (207RA0401X), and the practice location is in Baltimore, MD. The record was last updated on Apr 4, 2025.