NPIMap

Organization Active NPI

Balanced Horizons Treatment Centers

  • Addiction Medicine (Family Medicine) Physician
  • Waldorf, MD
National Provider Identifier
1063251320
Registry record updated May 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
Legal business name
BALANCED HORIZONS TREATMENT CENTERS
Practice address
1885 Holly LN Suite 4
Waldorf, MD 20601
Phone
(301) 868-2760
NPI assigned
May 24, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Gerald Lee
Title
Medical Director
Phone
(703) 678-5186

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Family Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QA0401X Primary

Addresses

Primary practice location

1885 Holly LN Suite 4
Waldorf, MD 20601

Mailing address

1885 Holly LN Suite 4
Waldorf, MD 20601

National Provider Directory

National Provider Directory
Tax ID family
Balanced Horizons Treatment Centers3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1716508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716508800000",
    "number": "1063251320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1885 HOLLY LN SUITE 4",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "20601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1885 HOLLY LN SUITE 4",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "20601",
            "telephone_number": "301-868-2760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCED HORIZONS TREATMENT CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-24",
        "last_updated": "2024-05-24",
        "certification_date": "2024-05-17",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "GERALD",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "703-678-5186"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waldorf, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.