Organization
INNOVATIVE THERAPEUTIC SERVICES, CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISTY CROMARTIE (CHIEF EXECUTIVE OFFICE)
(301) 455-7872
Entity
Organization
Contact information
Practice address
20 W WASHINGTON ST STE 503, HAGERSTOWN, MD 21740-4817
(301) 393-3949
(301) 745-3482
Mailing address
14440 CHERRY LANE CT STE 208, LAUREL, MD 20707-4946
(301) 604-1458
(301) 604-1459
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
01/08/2019
Last updated
01/08/2019
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