institution
Lane Treatment Center, Llc
Substance Use Disorder Rehabilitation Clinic/Center in Baltimore, Maryland
NPI 1184695744

Lane Treatment Center, Llc is a Substance Use Disorder Rehabilitation Clinic/Center based in Baltimore, MD and is specialized in Rehabilitation, Substance Use Disorder. Lane Treatment Center, Llc practices in Baltimore, MD. The NPI Number for Lane Treatment Center, Llc is 1184695744 and holds a License No. MH-1870 (Maryland).

The current practice location address for Lane Treatment Center, Llc is 2117 Maryland Ave, Baltimore, MD and can be reached out via phone at 410-244-7350 and via fax at 410-244-7351. You can also correspond with Lane Treatment Center, Llc through the mailing address at 2117 MARYLAND AVE, BALTIMORE, MD - 21218-5614 (mailing address contact number: 410-244-7350).

Location: 2117 Maryland Ave, Baltimore, MD, 21218-5614
institution
Provider Profile Details
NPI Number
1184695744
Provider Name
Lane Treatment Center, Llc
Credential
Provider Entity Type
Organization
Address
2117 Maryland Ave, Baltimore, MD, 21218-5614
Phone Number
410-244-7350
Fax Number
410-244-7351
Provider Enumeration Date
01/31/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
419787900 05 MD
institution
Provider Business Practice Location Address Details
Address
2117 Maryland Ave
City
State
Zip
21218-5614
Phone Number
410-244-7350
Fax Number
410-244-7351
person
Provider Business Mailing Address Details
Address
2117 Maryland Ave
City
State
Zip
21218-5614
Phone Number
410-244-7350
Fax Number
410-244-7351
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
License No.
905345 (Maryland)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
License No.
900128 (Maryland)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)
Taxonomy
License No.
MH-1858 (Maryland)
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
License No.
MH-1870 (Maryland)
Definition
Definition to come...
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