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Organization
HERITAGE TREATMENT CENTER INC
Active
Organization
HERITAGE TREATMENT CENTER INC
Active
Other names
HERITAGE TREATMENT CENTER LLC, HERITAGE TREATMENT CENTER, HERITAGE TREATMENT CENTER INC
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY LYNNELL BEANE (CO-OWNER)
(443) 873-9389
Entity
Organization
Contact information
Practice address
4200 EDMONDSON AVE STE 102, BALTIMORE, MD 21229-1600
(443) 224-0655
Mailing address
4200 EDMONDSON AVE STE 102, BALTIMORE, MD 21229-1600
(443) 224-0655
Taxonomy
Speciality
Code
Description
License number
State
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
—
NULL
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
12/17/2020
Last updated
04/04/2025
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