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SIBUS TREATMENT SERVICES LLC NPI 1215587027


NPI Information

NPI: 1215587027
Provider Name: SIBUS TREATMENT SERVICES LLC
Classification: Clinic/Center - 261QM2800X
Entity Type: Organization

Specialization: Methadone

CLIA Number: 21D2198782

Address:
6170 HUNT CLUB RD
ELKRIDGE, MD
ZIP 21075
Phone: (443) 820-3234
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SIBUS TREATMENT SERVICES LLC is a methadone clinic center in Elkridge, 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. SIBUS TREATMENT SERVICES LLC NPI is 1215587027. The provider is registered as an organization entity type.

The provider's business location address is:

6170 HUNT CLUB RD
ELKRIDGE, MD
ZIP 21075-003
Phone: (443) 820-3234

The provider's authorized official is Robert Galaher .
The authorized official title is Program Sponsor and has the following contact phone number (410) 991-5687.

The CLIA number assigned to this NPI record is 21D2198782 - other - outpatient sub abuse tx with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/13/2019 and was last updated on 2/1/2024.


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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM2800XClinic/CenterMethadoneYes

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

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