Organization
RIVERSIDE TREATMENT SERVICES LANSDOWNE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL H OLIVER (PRINCIPAL)
(443) 739-6104
Entity
Organization
Contact information
Practice address
1903 LANSDOWNE RD, LANSDOWNE, MD 21227-1707
(443) 691-5358
Mailing address
8359 PULASKI HWY, ROSEDALE, MD 21237-2948
(443) 730-6104
(443) 730-6109
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
—
—
Other
Enumeration date
04/30/2018
Last updated
04/30/2018
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