Organization
GLASS HEALTH PROGRAMS, INC.
Active
Parent organization
GLASS HEALTH PROGRAMS, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
GLASS HEALTH PROGRAMS, INC
Authorized official
BRUCE JARVIE (VP, TREASURER)
(214) 379-3300
Entity
Organization
Contact information
Practice address
2490 GILES RD, BALTIMORE, MD 21225-1011
(410) 354-2800
(410) 354-2843
Mailing address
1720 LAKEPOINTE DR STE 117, LEWISVILLE, TX 75057-6425
(214) 379-3300
(214) 853-9018
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
110210
MD
261QM2800X
Methadone Clinic
903986
MD
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
904747
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03919102
—
MD
Enumeration date
04/23/2012
Last updated
07/29/2024
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