1st Medical Pain Management Specialists
Clinic/Center, Adult Mental Health in Towson, MD. Organization (NPI-2).
NPI number1558036962
StatusActive
Last updated in NPPESJan 23, 2022
Details
- NPI
- 1558036962
- Entity type
- Organization (NPI-2)
- Legal business name
- 1st Medical Pain Management Specialists
- Organization subpart
- Yes
- Enumeration date
- Aug 9, 2021
- Certification date
- Jan 23, 2022
- Last updated
- Jan 23, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0850X | Clinic/Center, Adult Mental Health | – | – | Yes |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – | |
| 101YM0800X | Counselor, Mental Health | – | – | |
| 1041C0700X | Social Worker, Clinical | – | – | |
| 225C00000X | Rehabilitation Counselor | – | – | |
| 261QM1300X | Clinic/Center, Multi-Specialty | – | – | |
| 261QR0401X | Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) | – | – | |
| 261QR0405X | Clinic/Center, Rehabilitation, Substance Use Disorder | – | – | |
| 261QR0800X | Clinic/Center, Recovery Care | – | – |
Other names
- 1st Medical Painrehab Center (Doing Business As)
Practice location
7600 Osler Dr Ste 105Towson, MD 21204-7705
Phone 410-825-4500 · Fax 410-956-6803
Mailing address
7600 Osler Dr Ste 105Towson, MD 21204-7705
Phone 410-825-4500 · Fax 410-956-6803
Authorized official
Rosemary Ingado
Clinical Administrator
4109566800
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