LANE TREATMENT CENTER LLC NPI 1184695744

NPI Information

NPI: 1184695744
Provider Name: LANE TREATMENT CENTER, LLC
Classification: Clinic/Center - 261QR0401X
Entity Type: Organization

Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)

Address:
2117 MARYLAND AVE
SUITE 400
BALTIMORE, MD
ZIP 21218
Phone: (410) 244-7350
Get Directions

LANE TREATMENT CENTER, LLC is a rehabilitation and comprehensive outpatient rehabilitation facility (corf) clinic center in Baltimore, MD. LANE TREATMENT CENTER, LLC NPI is 1184695744. The provider is registered as an organization entity type.

The provider's business location address is:

2117 MARYLAND AVE
SUITE 400
BALTIMORE, MD
ZIP 21218-614
Phone: (410) 244-7350
Fax: (410) 244-7351

The provider's authorized official is Karen Reese .
The authorized official title is Executive Director and has the following contact phone number (410) 837-4292.

The enumeration date for this NPI number is 1/31/2006 and was last updated on 2/22/2016.

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	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	MH-1870	MARYLAND	No
2	261QM0850X	Clinic/Center	Adult Mental Health	MH-1858	MARYLAND	No
3	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	905345	MARYLAND	No
4	261QR0401X	Clinic/Center	Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)	900128	MARYLAND	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	419787900	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: 4/28/2024

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