# TRI-STATE HEALTH, INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** TRI-STATE HEALTH, INC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1710740576
- **Legal business name:** TRI-STATE HEALTH, INC
- **Authorized official:** MUHAMMED ARIF NIAZ MD (MANAGING MEMBER)
- **Authorized official phone:** (410) 392-6408

## Contact information

- **Practice address:** 2527 JACOB TOME MEMORIAL HWY, COLORA, MD 21917-1258
- **Practice address phone:** (410) 392-6408
- **Mailing address:** 107 N BRIDGE ST, ELKTON, MD 21921-5326
- **Mailing address phone:** (410) 392-6408

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 207RA0401X | Addiction Medicine (Internal Medicine) Physician | — | NULL | — |
| 207RA0401X | Addiction Medicine (Internal Medicine) Physician | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 02/05/2024
- **Last updated:** 02/05/2024