Organization
TRELLIS SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL MALONEY (PRESIDENT)
(410) 369-0000
Entity
Organization
Contact information
Practice address
14550 YORK RD, SPARKS, MD 21152-9307
(410) 785-3845
Mailing address
3600 CLIPPER MILL RD STE 330, BALTIMORE, MD 21211-1995
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
10/18/2013
Last updated
11/06/2014
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