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GLENWOOD LIFE-COUNSELING CENTER INC NPI 1104802420


NPI Information

NPI: 1104802420
Provider Name: GLENWOOD LIFE-COUNSELING CENTER INC
Classification: Clinic/Center - 261QM2800X
Entity Type: Organization

Specialization: Methadone

Address:
516 GLENWOOD AVE
BALTIMORE, MD
ZIP 21212
Phone: (410) 323-9811
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GLENWOOD LIFE-COUNSELING CENTER INC is a methadone clinic center in Baltimore, MD. The provider is an entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. GLENWOOD LIFE-COUNSELING CENTER INC NPI is 1104802420. The provider is registered as an organization entity type.

The provider's business location address is:

516 GLENWOOD AVE
BALTIMORE, MD
ZIP 21212-230
Phone: (410) 323-9811
Fax: (410) 323-3862

The provider's authorized official is Aredenia Langley .
The authorized official title is Billing Supervisor and has the following contact phone number (410) 323-9811.

The enumeration date for this NPI number is 12/19/2005 and was last updated on 12/6/2019.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM2800XClinic/CenterMethadoneYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1750251600MEDICAIDMARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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