NPI: 1467882878
Provider Name: POLARIS RECOVERY CENTER LLC
Doing Business As: MARYLAND ADDICTION RECOVERY CENTER
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization
Specialization: Rehabilitation, Substance Use Disorder
CLIA Number: 21D2071994
Address:
8600 LASALLE RD.
SUITE 212
TOWSON, MD
ZIP 21286
Phone: (410) 773-0500
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POLARIS RECOVERY CENTER LLC is a rehabilitation and substance use disorder clinic center in Towson, MD. POLARIS RECOVERY CENTER LLC NPI is 1467882878. The provider is registered as an organization entity type.
The provider Is Doing Business As Maryland Addiction Recovery Center.
The provider's business location address is:
8600 LASALLE RD.
SUITE 212
TOWSON, MD
ZIP 21286
Phone: (410) 773-0500
Fax: (410) 773-0501
The provider's authorized official is Sam Bierman .
The authorized official title is Executive Director and has the following contact phone number (516) 319-7041.
The CLIA number assigned to this NPI record is 21D2071994 - ancillary testing site in health care center with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 11/21/2013 and was last updated on 4/29/2015.