Innovative Treatment Centers, LLC
Nurse Practitioner, Psych/Mental Health in Frederick, MD. Organization (NPI-2).
NPI number1134052012
StatusActive
Last updated in NPPESJun 8, 2026
Details
- NPI
- 1134052012
- Entity type
- Organization (NPI-2)
- Legal business name
- Innovative Treatment Centers, LLC
- Organization subpart
- Yes
- Enumeration date
- Jun 8, 2026
- Certification date
- Jun 8, 2026
- Last updated
- Jun 8, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | – | – | Yes |
Practice location
110 Baughmans Ln Ste 270Frederick, MD 21702-4650
Phone 443-430-2998
Mailing address
110 Baughmans Ln Ste 270Frederick, MD 21702-4650
Phone 443-430-2998
Authorized official
Travis A Baird
Ceo
4434302998
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