Organization · Type 2 NPI
Innovative Treatment Centers
Addiction Medicine (Family Medicine) Physician · Glen Burnie, MD
NPI number
1730892035
Active
Practice location
325 Hospital Dr Ste 106
Glen Burnie, MD 21061-5806
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction Medicine (Family Medicine) Physician Primary | 207QA0401X | None listed |
| Adult Health Nurse Practitioner | 363LA2200X | None listed |
Addiction Medicine (Family Medicine) Physician: A family medicine physician who specializes in the diagnosis and treatment of addictions.
15 other providers at this address
- Innovative Treatment CentersMental Health Clinic/Center (Including Community Mental Health Center) Glen Burnie, MD NPI 1568175867
- Innovative Treatment Centers, LLCMental Health Clinic/Center (Including Community Mental Health Center) Glen Burnie, MD NPI 1780488676
- Annelise Melissa Nentwick, CRNP-PMHPsychiatric/Mental Health Nurse Practitioner Glen Burnie, MD NPI 1689495491
- Ashley Ka Yan Tsu, CRNP-PMHPsychiatric/Mental Health Nurse Practitioner Glen Burnie, MD NPI 1770475550
- Cierra N. Vaughters, PMHNP-BCPsychiatric/Mental Health Nurse Practitioner Glen Burnie, MD NPI 1043108210
- Esperanza Ballenilla, LCSW-CClinical Social Worker Glen Burnie, MD NPI 1649852617
- Gonzalo GuerraMental Health Counselor Glen Burnie, MD NPI 1235790601
- Jessica Erin Horseman, PMHNP-BCPsychiatric/Mental Health Nurse Practitioner Glen Burnie, MD NPI 1639073935
- Karen GarciaPsychiatric/Mental Health Nurse Practitioner Glen Burnie, MD NPI 1205520608
- Laura Rebeca Mata Lopez, NPPsychiatric/Mental Health Nurse Practitioner Glen Burnie, MD NPI 1871010793
- Margarette Lorraine Quial Fernandez, LGPCProfessional Counselor Glen Burnie, MD NPI 1245118355
- Navneet Kaur Gill, PMHNP-BCPsychiatric/Mental Health Nurse Practitioner Glen Burnie, MD NPI 1053809871
About NPI 1730892035
Innovative Treatment Centers's National Provider Identifier is 1730892035, issued on Jan 2, 2023. The primary taxonomy on file is Addiction Medicine (Family Medicine) Physician (207QA0401X), and the practice location is in Glen Burnie, MD. The record was last updated on May 19, 2023.