Glass Health Programs, INC.
Clinic/Center, Methadone Clinic in Towson, MD. Organization (NPI-2).
NPI number1497464648
StatusActive
Last updated in NPPESJul 29, 2024
Details
- NPI
- 1497464648
- Entity type
- Organization (NPI-2)
- Legal business name
- Glass Health Programs, INC.
- Organization subpart
- No
- Enumeration date
- Nov 16, 2022
- Certification date
- Jul 29, 2024
- Last updated
- Jul 29, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM2800X | Clinic/Center, Methadone Clinic | – | – | Yes |
Other names
- Medmark Treatment Centers-Bc Detention Center (Doing Business As)
Practice location
720 Bosley AveTowson, MD 21204-4011
Phone 667-335-1338
Mailing address
1720 Lakepointe Dr Ste 117Lewisville, TX 75057-6425
Phone 469-470-4783
Authorized official
Bruce Jarvie
Vp, Treasurer
2143793300
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