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Organization
ADDICTION MEDICATION CLINIC LLC
Active
Organization
ADDICTION MEDICATION CLINIC LLC
Active
Other names
Maryland Behavioral Health Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
RACHEL SAGI (COO)
(443) 547-2964
Entity
Organization
Contact information
Practice address
407 MALCOLM DR, WESTMINSTER, MD 21157-6107
(443) 547-2964
(443) 417-2996
Mailing address
407 MALCOLM DR, WESTMINSTER, MD 21157-6107
(443) 547-2964
(443) 417-2996
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
363L00000X
Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
698046500
—
MD
05
—
999656700
—
MD
Enumeration date
07/07/2021
Last updated
07/31/2026
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