Organization
DSTND4GR8NS BEHAVIORAL HEALTH LLC
Active
Other names
DSTND4GR8NS LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD E. SATTERFIELD JR. CAC-ADS (CEO)
(443) 768-2215
Entity
Organization
Contact information
Practice address
9401 WHITE CEDAR DR APT 302, OWINGS MILLS, MD 21117-7523
(443) 768-2215
Mailing address
9401 WHITE CEDAR DR APT 302, OWINGS MILLS, MD 21117-7523
(443) 768-2215
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
01/29/2022
Last updated
01/26/2023
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