ESSENTIAL BEHAVIORAL HEALTH SERVICES INC. NPI 1134550445

NPI Information

NPI: 1134550445
Provider Name: ESSENTIAL BEHAVIORAL HEALTH SERVICES, INC.
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
2204 MARYLAND AVE
BALTIMORE, MD
ZIP 21218
Phone: (410) 617-8026
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ESSENTIAL BEHAVIORAL HEALTH SERVICES, INC. is a rehabilitation and substance use disorder clinic center in Baltimore, MD. ESSENTIAL BEHAVIORAL HEALTH SERVICES, INC. NPI is 1134550445. The provider is registered as an organization entity type.

The provider's business location address is:

2204 MARYLAND AVE
BALTIMORE, MD
ZIP 21218-625
Phone: (410) 617-8026

The provider's authorized official is Kenneth Tracy Collins .
The authorized official title is President And Ceo and has the following contact phone number (410) 617-8026.

The enumeration date for this NPI number is 12/12/2013 and was last updated on 9/18/2014.

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	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	905159	OTHER	MARYLAND	SUB ABUSE REGISTRATION

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

NPI Synchronization or Removal

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