Organization
PAIN AND SPINE SPECIALISTS OF MARYLAND, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACI POWELL (DIRECTOR OF OPERATIONS)
(443) 701-9295
Entity
Organization
Contact information
Practice address
1704 BACK ACRE CIR, MOUNT AIRY, MD 21771-7768
(301) 703-8767
Mailing address
2702 BACK ACRE CIR # 290B, MOUNT AIRY, MD 21771-7769
(301) 703-8767
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
02/18/2021
Last updated
03/11/2021
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