Organization
NORTHERN PARKWAY TREATMENT SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BABAK IMANOEL D.O. (PRESIDENT)
(443) 475-0737
Entity
Organization
Contact information
Practice address
3007 E NORTHERN PKWY, BALTIMORE, MD 21214-1419
(443) 475-0737
(410) 220-0703
Mailing address
3007 E NORTHERN PKWY, BALTIMORE, MD 21214-1419
(443) 475-0737
(410) 220-0703
Taxonomy
Speciality
Code
Description
License number
State
261QR0800X
Recovery Care Clinic/Center
Primary
905624
MD
Other
Enumeration date
07/09/2015
Last updated
07/09/2015
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