Organization
GLASS MENTAL HEALTH FOUNDATION INC
Active
Parent organization
GLASS MENTAL HEALTH FOUNDATION, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
GLASS MENTAL HEALTH FOUNDATION, INC.
Authorized official
BOND ANDREWS (VICE PRESIDENT, REVENUE CYCLE)
(214) 379-3398
Entity
Organization
Contact information
Practice address
2 W AYLESBURY RD, TIMONIUM, MD 21093-4101
(410) 561-9591
(410) 560-1082
Mailing address
401 E CORPORATE DR, SUITE 220, LEWISVILLE, TX 75057-6430
(214) 379-3347
(214) 379-3324
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
13110
MD
261Q00000X
Clinic/Center
905032
MD
261QM2800X
Methadone Clinic
Primary
—
MD
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
905032
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
099421900
—
MD
05
—
99241900
—
MD
Enumeration date
02/01/2006
Last updated
10/24/2017
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