ADDIS CONSULTING INC. NPI 1124557871

NPI Information

NPI: 1124557871
Provider Name: ADDIS CONSULTING INC.

Doing Business As: FRESH START COMPREHENSIVE CENTER

Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
8492 BALTIMORE NATIONAL PIKE
ELLICOTT CITY, MD
ZIP 21043
Phone: (443) 671-1414
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ADDIS CONSULTING INC. is a rehabilitation and substance use disorder clinic center in Ellicott City, MD. ADDIS CONSULTING INC. NPI is 1124557871. The provider is registered as an organization entity type.
The provider Is Doing Business As Fresh Start Comprehensive Center.

The provider's business location address is:

8492 BALTIMORE NATIONAL PIKE
ELLICOTT CITY, MD
ZIP 21043-370
Phone: (443) 671-1414
Fax: (443) 671-1420

The provider's authorized official is Terri Fields .
The authorized official title is Practice Administrator and has the following contact phone number (443) 884-7521.

The enumeration date for this NPI number is 6/7/2017 and was last updated on 3/17/2018.

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
1	261Q00000X	Clinic/Center				No
2	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	424075801	MEDICAID	MARYLAND

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: 5/5/2024

NPI Synchronization or Removal

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