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Glass Health Programs, INC.

Clinic/Center, Methadone Clinic in Baltimore, MD. Organization (NPI-2).

NPI number1154789014
StatusActive
Last updated in NPPESJul 29, 2024

Details

NPI
1154789014
Entity type
Organization (NPI-2)
Legal business name
Glass Health Programs, INC.
Organization subpart
Yes
Enumeration date
Feb 8, 2016
Certification date
Jul 29, 2024
Last updated
Jul 29, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM2800X Clinic/Center, Methadone Clinic––Yes

Other names

  • Medmark Treatment Centers - Mt. Vernon (Doing Business As)

Practice location

817 N Calvert St Fl 1
Baltimore, MD 21202-3705

Phone 443-290-6424 · Fax 410-528-4509

Mailing address

1720 Lakepointe Dr Ste 117
Lewisville, TX 75057-6425

Phone 214-379-3300 · Fax 214-853-9018

Authorized official

Bruce Jarvie
Vp, Treasurer
2143793300

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