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Organization
NEXTGENERATION THERAPEUTIC SERVICES
Active
Organization
NEXTGENERATION THERAPEUTIC SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIERRA ELLIS (CEO/EXECUTIVE DIRECTOR)
(240) 360-2161
Entity
Organization
Contact information
Practice address
14900 SWEITZER LN STE 200, LAUREL, MD 20707-2915
(443) 561-6102
Mailing address
14900 SWEITZER LN STE 200, LAUREL, MD 20707-2915
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1306437876
—
MD
Enumeration date
11/08/2021
Last updated
06/05/2023
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