Grasonville Health Services, INC.
Clinic/Center, Rehabilitation, Substance Use Disorder in Grasonville, MD. Organization (NPI-2).
NPI number1730958828
StatusActive
Last updated in NPPESDec 29, 2023
Details
- NPI
- 1730958828
- Entity type
- Organization (NPI-2)
- Legal business name
- Grasonville Health Services, INC.
- Organization subpart
- No
- Enumeration date
- Dec 29, 2023
- Certification date
- Dec 29, 2023
- Last updated
- Dec 29, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QR0405X | Clinic/Center, Rehabilitation, Substance Use Disorder | – | – | Yes |
Practice location
101 Drummer DrGrasonville, MD 21638-1202
Phone 443-904-3424
Mailing address
125 Slade AvePikesville, MD 21208-4907
Phone 443-904-3424
Authorized official
Moshe Markowitz
President
4439043424
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