Organization
METWORK HEALTH SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRENT GARRETT BOWMAN CAC-AD (ADMINISTRATIVE DIRECTOR)
(410) 259-4985
Entity
Organization
Contact information
Practice address
2120 LIBERTY RD, ELDERSBURG, MD 21784-6723
(410) 781-4158
(410) 781-4801
Mailing address
2120 LIBERTY RD, ELDERSBURG, MD 21784-6723
(410) 781-4158
(410) 781-4801
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
15858
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
215361100
—
MD
01
—
MD10049M
FDA ID NUMBER
MD
Enumeration date
01/10/2007
Last updated
10/24/2011
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