Organization
POLARIS DETOX LLC
Active
Other names
Innovo Detox
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL BIERMAN (CEO)
(410) 773-0500
Entity
Organization
Contact information
Practice address
7007 YORK RD, ABBOTTSTOWN, PA 17301-9774
(410) 773-0500
Mailing address
8600 LASALLE RD., SUITE 212, TOWSON, MD 21286
(410) 773-0500
(410) 773-0499
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
01/30/2020
Last updated
10/08/2024
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