Organization
MARYLAND HOUSE DETOX, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL BORKOWSKI (AUTHORIZED OFFICIAL)
(954) 487-1224
Entity
Organization
Contact information
Practice address
817 S CAMP MEADE RD, LINTHICUM HEIGHTS, MD 21090-3032
(954) 487-1224
Mailing address
PO BOX 714784, CINCINNATI, OH 45271-4784
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
03/30/2018
Last updated
03/29/2022
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