Organization
ELLICOTT CITY HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMIEL CHICHEPORTICHE (OWNER)
(410) 258-8939
Entity
Organization
Contact information
Practice address
10176 BALTIMORE NATIONAL PIKE STE 115, ELLICOTT CITY, MD 21042-3651
(410) 203-2120
Mailing address
2833 SMITH AVE STE 148, BALTIMORE, MD 21209-1426
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
—
—
Other
Enumeration date
09/30/2025
Last updated
09/30/2025
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