Glass Mental Health Foundation INC

NPI #1255302774 in Timonium, Maryland

Provider Information

NPI Number: 1255302774
Entity Type: Organization
Organization Name: Glass Mental Health Foundation INC
Subpart: Yes (part of a larger organization)
Parent Organization: GLASS MENTAL HEALTH FOUNDATION, INC.
Primary Specialty: Clinic/Center - Methadone
Enumeration Date: Feb 1, 2006
Last Updated: Oct 24, 2017

Practice Location

Address: 2 W AYLESBURY RD
City: Timonium
State: Maryland
ZIP Code: 21093-4101
Phone: (410) 561-9591

Authorized Official

Name: BOND ANDREWS
Title: VICE PRESIDENT, REVENUE CYCLE
Phone: (214) 379-3398

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X
Clinic/Center - Rehabilitation, Substance Use Disorder — Rehabilitation, Substance Use Disorder	261QR0405X
Clinic/Center - Methadone — Methadone	261QM2800X	Primary

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