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Organization

ADDICTION MEDICATION CLINIC LLC

Active
Parent organization
ADDICTION MEDICATION CLINIC
Organization subpart
Yes

Provider details

NPI number
Legal business name
ADDICTION MEDICATION CLINIC
Authorized official
RACHEL SAGI (EXECUTIVE DIRECTOR)
(443) 896-6463
Entity
Organization

Contact information

Practice address
407 MALCOLM DR, WESTMINSTER, MD 21157-6107
(443) 204-9020
(443) 417-2996
Mailing address
407 MALCOLM DR, WESTMINSTER, MD 21157-6107
(443) 547-2964
(443) 417-2996

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
363L00000X
Nurse Practitioner
Primary
363LP0808X
Psychiatric/Mental Health Nurse Practitioner

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
698046500
MD
05
999656700
MD
Enumeration date
07/07/2021
Last updated
05/04/2026
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