ATS OF CECIL COUNTY LLC NPI 1033696711

NPI Information

  • NPI: 1033696711
  • Provider Name: ATS OF CECIL COUNTY, LLC
  • Classification: Clinic/Center - 261QR0405X
  • Specialization: Rehabilitation, Substance Use Disorder
  • Entity Type: Organization
  • Doing Business As: PINE HEIGHTS TREATMENT CENTER
  • Address: 3455 WILKENS AVENUE
    LOWER LEVEL 20
    BALTIMORE, MD
    ZIP 21229
  • Phone: (410) 646-6960

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NPI Details

ATS OF CECIL COUNTY, LLC is a rehabilitation and substance use disorder clinic center in Baltimore, MD. ATS OF CECIL COUNTY, LLC NPI is 1033696711. The provider is registered as an organization entity type.
The provider Is Doing Business As Pine Heights Treatment Center.

The provider's business location address is:

3455 WILKENS AVENUE
LOWER LEVEL 20
BALTIMORE, MD
ZIP 21229-203
Phone: (410) 646-6960
Fax: (410) 644-5612

The provider's authorized official is Brian Phillip Farley .
The authorized official title is Vp & Secretary and has the following contact phone number (615) 861-6000.

The enumeration date for this NPI number is 7/25/2018 and was last updated on 10/24/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR0405XClinic/CenterRehabilitation, Substance Use DisorderBH000115MARYLANDYes

What is NPI?

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This page was last updated on: 3/30/2025

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