| NPI | 1568058196 |
|---|---|
| Doing Business As | HERITAGE TREATMENT CENTER INC |
| Doing Business As | HERITAGE TREATMENT CENTER LLC |
| Doing Business As | HERITAGE TREATMENT CENTER |
| Entity Type | Organization |
| Authorized Contact | TIFFANY LYNNELL BEANE Co Owner 443-873-9389 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine |
| Enumeration Date | 2020-12-17 |
| Last Update Date | 2025-04-04 |