NPIMap

Organization Active NPI

Alcohol and Drug Intervention, Inc

  • Substance Abuse Rehabilitation Facility
  • Glen Burnie, MD
National Provider Identifier
1245568757
Registry record updated Dec 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
903237 Issued in MD
Legal business name
ALCOHOL AND DRUG INTERVENTION, INC
Practice address
7458 Baltimore Annapolis Blvd
Glen Burnie, MD 21061-3541
Phone
(410) 787-2288
Fax
(410) 787-9479
NPI assigned
Nov 20, 2009
Last updated
Dec 8, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2020

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

Authorized official

Name
Mrs. Mindy Fleetwood
Title
President
Phone
(410) 787-2288

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 903237 MD Primary

Addresses

Primary practice location

7458 Baltimore Annapolis Blvd
Glen Burnie, MD 21061-3541

Mailing address

7458 Baltimore Annapolis Blvd
Glen Burnie, MD 21061-3541
Phone (410) 787-2288

National Provider Directory

National Provider Directory
Tax ID family
Alcohol and Drug Intervention2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

7458 Baltimore Annapolis Blvd
Glen Burnie, MD 21061
Phone (410) 787-2288

NPI Registry JSON

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

{
    "created_epoch": "1258675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607385600000",
    "number": "1245568757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7458 BALTIMORE ANNAPOLIS BLVD",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210613541",
            "telephone_number": "410-787-2288",
            "fax_number": "410-787-9479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7458 BALTIMORE ANNAPOLIS BLVD",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210613541",
            "telephone_number": "410-787-2288",
            "fax_number": "410-787-9479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALCOHOL AND DRUG INTERVENTION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-20",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "status": "A",
        "authorized_official_last_name": "FLEETWOOD",
        "authorized_official_first_name": "MINDY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-787-2288",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "MD",
            "license": "903237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Burnie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2020; 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.