Addiction Recovery Services
Organization Active NPI Community/Behavioral Health Agency · Columbia, MD
NPI 1861620239 · NPPES record last updated Jun 24, 2009
Key facts
- NPI
- 1861620239
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- License
- 101YA0400X (MD)
- Legal business name
- ADDICTION RECOVERY SERVICES
- Practice address
- 8950 Rte 108
Suite 235
Columbia, MD 21045-2273 - Phone
- (410) 964-2771
- NPI assigned
- Jun 24, 2009
- Organization subpart
- No
Authorized official
- Name
- Thomas Patrick Benner, MS, LCADC, MAC, SAP
- Title
- Executive Director
- Phone
- (410) 964-2771
Practitioners 1
-
Thomas Patrick Benner, LCADC, MS, MAC, SAP
National Provider Directory
Locations
8950 Route 108
Ste 235
Columbia, MD 21045
Phone (410) 964-2771
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | LCA157 | MD | |
| Community/Behavioral Health Agency | 251S00000X | 101YA0400X | MD | Yes |
Addresses
Primary practice location
8950 Rte 108
Suite 235
Columbia, MD 21045-2273
Mailing address
8950 Rte 108
Suite 235
Columbia, MD 21045-2273
Phone (410) 964-2771
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LCA157 | Other | MD | MD LICENSE |
| 410405600 | Medicaid | MD |
Other providers in Columbia, MD
- Ellen K Adams
- Emily Adams
- Grace Marie Adams
- Jeffrey Douglas Adams
- Melanie L Adams
- Taren Addington
- Lakesha Addison- Harris
- Esther Dede Addo
- Mofifoluwa Adeseke Adebambo
- Abimbola Charles Adebayo
All providers in Columbia, MD · Community/Behavioral Health Agency in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 24, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.