Maryland House Detox, LLC
NPI #1437654456 in Linthicum Heights, Maryland
Provider Information
- NPI Number
- 1437654456
- Entity Type
- Organization
- Organization Name
- Maryland House Detox, LLC
- Primary Specialty
- Substance Abuse Rehabilitation Facility
- Enumeration Date
- Mar 30, 2018
- Last Updated
- Mar 29, 2022
Practice Location
- Address
- 817 S CAMP MEADE RD
- State
- Maryland
- ZIP Code
- 21090-3032
- Phone
- (954) 487-1224
Authorized Official
- Name
- MICHAEL BORKOWSKI
- Title
- AUTHORIZED OFFICIAL
- Phone
- (954) 487-1224
Specialties & Taxonomy Codes
| Specialty |
|---|
| Substance Abuse Rehabilitation Facility |
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