Healthcare Provider Details

I. General information

NPI: 1205323508
Provider Name (Legal Business Name): AMERICAN PSYCHIATRIC GROUP, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/23/2018
Last Update Date: 04/23/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

518 N CHARLES ST FL 2
BALTIMORE MD
21201-5053
US

IV. Provider business mailing address

9638 MAYMONT DR
VIENNA VA
22182-3010
US

V. Phone/Fax

Practice location:
  • Phone: 410-600-3500
  • Fax: 410-600-3499
Mailing address:
  • Phone: 410-446-5461
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License NumberBH000413
License Number StateMD

VIII. Authorized Official

Name: IRFAN SAEED
Title or Position: PRESIDENT
Credential:
Phone: 410-446-5461