Organization
KARIS TREATMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE MCLEOD CRNP (OWNER)
(610) 299-4704
Entity
Organization
Contact information
Practice address
2794 SUGAR PINE CT, ABINGDON, MD 21009-1588
(610) 299-4704
Mailing address
2794 SUGAR PINE CT, ABINGDON, MD 21009-1588
(610) 299-4704
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R204469
PSYCH NP
MD
Enumeration date
07/07/2021
Last updated
07/07/2021
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