Organization
ADDICTION MEDICATION CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RACHEL SAGI (EXECUTIVE DIRECTOR)
(410) 702-0921
Entity
Organization
Contact information
Practice address
407 MALCOLM DR, WESTMINSTER, MD 21157-6107
(410) 702-0921
Mailing address
407 MALCOLM DR, WESTMINSTER, MD 21157-6107
(410) 702-0921
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
999656700
—
MD
Enumeration date
05/11/2021
Last updated
01/23/2026
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