Organization
HEALTHPORT
Active
Other names
Lower Shore Clinic Mobile Treatment
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTINE GARTLITZ LCSW-C (CLINIC DIRECTOR)
(410) 341-3420
Entity
Organization
Contact information
Practice address
431 E MAIN ST, SALISBURY, MD 21804
(410) 341-9696
Mailing address
505 E MAIN ST, SALISBURY, MD 21804-5020
(410) 341-9696
(410) 341-9663
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
4606
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
419307500
—
MD
Enumeration date
03/31/2010
Last updated
09/02/2025
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