Organization
1ST MEDICAL PAIN MANAGEMENT SPECIALISTS
Active
Parent organization
1ST MEDICAL OF ANNAPOLIS, INC.
Other names
1st Medical Painrehab Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
1ST MEDICAL OF ANNAPOLIS, INC.
Authorized official
ROSEMARY INGADO PHYSICIAN ASSISTANT (CLINICAL ADMINISTRATOR)
(410) 956-6800
Entity
Organization
Contact information
Practice address
7600 OSLER DR STE 105, TOWSON, MD 21204-7705
(410) 825-4500
(410) 956-6803
Mailing address
7600 OSLER DR STE 105, TOWSON, MD 21204-7705
(410) 825-4500
(410) 956-6803
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
225C00000X
Rehabilitation Counselor
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
261QR0800X
Recovery Care Clinic/Center
—
—
Other
Enumeration date
08/09/2021
Last updated
01/23/2022
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