GLASS HEALTH PROGRAMS INC NPI 1154789014

NPI Information

GLASS HEALTH PROGRAMS, 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. GLASS HEALTH PROGRAMS, INC NPI is 1154789014. The provider is registered as an organization entity type.
The provider Is Doing Business As Medmark Treatment Centers - Mt. Vernon.

The provider's business location address is:

817 N CALVERT ST FL 1
BALTIMORE, MD
ZIP 21202-705
Phone: (443) 290-6424
Fax: (410) 528-4509

The provider's authorized official is Michael Saul .
The authorized official title is Vp and has the following contact phone number (214) 379-3300.

The CLIA number assigned to this NPI record is 21D2115777 - other - narcotic treatment progra with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/8/2016 and was last updated on 4/3/2024.

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:

Other Identifiers

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