Organization
1ST MEDICAL PAIN MANAGEMENT SPECIALISTS
Active
Parent organization
1ST MEDICAL OF ANNAPOLIS, INC.
Other names
1st Medical Painrehab Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
1ST MEDICAL OF ANNAPOLIS, INC.
Authorized official
ROSEMARY INGADO PHYSICIAN ASSISTANT (CLINICAL ADMINISTRATOR)
(410) 956-6800
Entity
Organization
Contact information
Practice address
405 FREDERICK RD STE 201, CATONSVILLE, MD 21228-4645
(410) 788-4411
(410) 788-4545
Mailing address
405 FREDERICK RD STE 11, CATONSVILLE, MD 21228-4607
(410) 788-4411
(410) 788-4545
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
08/09/2021
Last updated
01/23/2022
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