Organization
INNOVATIVE THERAPEUTIC SERVICES, CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MISTY CROMARTIE HAMMONS LCPC (CHIEF EXECUTIVE OFFICER)
(301) 604-1458
Entity
Organization
Contact information
Practice address
14440 CHERRY LANE CT, 208, LAUREL, MD 20707-4946
(301) 604-1458
Mailing address
14440 CHERRY LANE CT, 208, LAUREL, MD 20707-4946
(301) 604-1458
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/06/2015
Last updated
05/06/2015
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