Organization
BERGAND GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN COX (EXECUTIVE)
(410) 853-7691
Entity
Organization
Contact information
Practice address
1300 YORK ROAD, BUILDING C, SUITE 100, LUTHERVILLE, MD 21093
(410) 853-7691
(443) 519-5167
Mailing address
1300 YORK ROAD, BUILDING C, SUITE 100, LUTHERVILLE, MD 21093
(410) 853-7691
(443) 519-5167
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
424549100
—
MD
Enumeration date
04/16/2012
Last updated
09/19/2025
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